Addendum to the Supporting Statement 0960-0040

Addendum 0960-0040.doc

Employment Relationship Questionnaire

Addendum to the Supporting Statement 0960-0040

OMB: 0960-0040

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Addendum to the Supporting Statement for

Form SSA-7160-F4
Employment Relationship Questionnaire

20 CFR 404.1007


OMB No. 0960-0040




Minor Revisions to the Collection Instrument


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  The current language, which dates back to the last reprint of the form, is now outdated.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

File Typeapplication/msword
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
Last Modified By889123
File Modified2012-08-07
File Created2012-08-07

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