Addendum to the Supporting Statement 0960-0681

Addendum--0681.doc

Function Report - Adult

Addendum to the Supporting Statement 0960-0681

OMB: 0960-0681

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ADDENDUM TO THE SUPPORTING STATEMENT FOR FORM SSA-3373-BK

FUNCTION REPORT-ADULT

20 CFR 404.1512 and 20 CFR 416.912

OMB No. 0960-0681


Minor Revisions to the Collection Instrument


SSA is making the following revisions:


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 SUPPORTING STATEMENT
AuthorElizabeth
Last Modified By889123
File Modified2012-09-24
File Created2012-07-30

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