In-Person (Intranet) Requestors

SSA's Public Credentialing and Authentication Process

Revised Screens for TOS and APO-FPO Drop Down Boxes

In-Person (Intranet) Requestors

OMB: 0960-0789

Document [pdf]
Download: pdf | pdf
Screen Changes OMB Change Request – OMB#0960-0789
Electronic access Terms of Service:

[Insert at 1st arrow:]

You can create an account only to gain access to your own personal information. You cannot
use this online service to access the records of a person with whom:
 With whom you have a business relationship;
 For whom you are an appointed representative.
Unauthorized use of this service is a misrepresentation of your identity to the federal
government and could subject you to criminal or civil penalties, or both.
[Replace language at 2nd arrow]

What will we do with your information?

[Replace language at 3rd arrow and below:]

What happens if you provide false information or misuse this service?

You may be subject to criminal or civil penalties, or both, if you provide false or misleading
statements to sign in or create an account or engage in unauthorized use of this service.

MySSA Terms of Service:

[Insert new bullet at 1st arrow:]



I understand that I may use this service only to access my personal information.

[Change language at 2nd bullet:]



I consent to the monitoring and recording of my use of this program to ensure its
appropriate use.

[Change language at 3rd bullet:]


I understand that unauthorized use of this service is a misrepresentation of my identity to the
federal government and could subject me to criminal or civil penalties, or both.

[Replace language at 1st arrow]
What will we do with your information?

[Replace language at 2nd arrow and below:]
What happens if you provide false information or misuse this service?
You may be subject to criminal or civil penalties, or both, if you provide false or misleading statements
to sign in or create an account or engage in unauthorized use of this service.

[Insert at 1st arrow:]

You can create an account only to gain access to your own personal information. You cannot
use this online service to access the records of a person with whom:
 With whom you have a business relationship;
 For whom you are an appointed representative.
Unauthorized use of this service is a misrepresentation of your identity to the federal
government and could subject you to criminal or civil penalties, or both.
[Replace language at 2nd arrow]

What will we do with your information?

[Replace language at 3rd arrow and below:]

What happens if you provide false information or misuse this service?
You may be subject to criminal or civil penalties, or both, if you provide false or misleading
statements to sign in or create an account or engage in unauthorized use of this service.

[Replace language at 1st arrow]

What will we do with your information?

[Replace language at 2nd arrow and below:]

What happens if you provide false information or misuse this service?
You may be subject to criminal or civil penalties, or both, if you provide false or misleading
statements to sign in or create an account or engage in unauthorized use of this service.

[Add language at 1st arrow]
Drop-down menu selections for APO/FPO state designations for Armed Forces postal addresses.

[Add language at 1st arrow]
Drop-down menu selections for APO/FPO state designations for Armed Forces postal addresses.

[Add language at 1st arrow]
Drop-down menu selections for APO/FPO state designations for Armed Forces postal addresses.

[Add language at 1st arrow]
Drop-down menu selections for APO/FPO state designations for Armed Forces postal addresses.

[Add language at 1st arrow]
Drop-down menu selections for APO/FPO state designations for Armed Forces postal addresses.


File Typeapplication/pdf
Author889123
File Modified2012-06-27
File Created2012-06-27

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