Document

Addendum to the Supporting Statement for Form SSA-3462

ICR 201202-0960-003 · OMB 0960-0753 · Object 31116701.

Document Viewer [doc]

Status: Original and derived artifacts are available for this document.

Download: doc | pdf | html

Primary: htmlSource: application/msword
Loading document viewer…

Document Metadata

Record metadata
application/msword
Addendum to the Supporting Statement for Form SSA-3462
177717
Writer
2012-03-15
2026-10-17
complete

Extracted Text

Addendum to Supporting Statement for Electronic Records Express (ERE)
20 CFR 404.1512
OMB No. 0960-0758


Minor Revisions to the Collection Instrument

SSA is making the following revisions:

We are revising the PRA statement to reflect our current boilerplate language.  The current language, which dates back to the last reprint of the form, is now outdated.

SSA’s Office of the General Counsel is conducting a systematic review of SSA’s Privacy Act Statements on agency forms.  As a result, SSA is updating the Privacy Act Statement on the first page of the form.