Addendum to the Supporting Statement 0960-0734

Addendum 0734.doc

Statement of Reclamation Action

Addendum to the Supporting Statement 0960-0734

OMB: 0960-0734

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Addendum to the Supporting Statement for Forms SSA-1712

Notice of Reclamation - Canada Payment Made in United States, and

SSA-1713, Statement of Reclamation Action

OMB No. 0960-0734


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  The current language, which dates back to the last reprint of the form, is now outdated.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-3462
Author177717
Last Modified By889123
File Modified2012-05-22
File Created2012-05-22

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