Addendum to Supporting Statement

Addendum 0101.doc

Claim for Amounts Due in the Case of a Deceased Beneficiary

Addendum to Supporting Statement

OMB: 0960-0101

Document [doc]
Download: doc | pdf


Addendum to the Supporting Statement for Form SSA-1724

Claim for Amounts Due In The Case of a Deceased Beneficiary

20 CFR 404.503(b)

OMB No. 0960-0101


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  The current language, which dates back to the last reprint of the form, is now outdated.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.


File Typeapplication/msword
File TitleAddendum to the Supporting Statement for Form SSA-1724
AuthorMargaret Smilow, OPP, 57976
Last Modified By889123
File Modified2012-05-18
File Created2012-05-18

© 2024 OMB.report | Privacy Policy