Addendum to the Supporting Statement for 0960-0288

Addendum to Supporting Statement.doc

Notice Regarding Substitution of Party Upon Death of Claimant

Addendum to the Supporting Statement for 0960-0288

OMB: 0960-0288

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Addendum to the Supporting Statement for Notice Regarding

Substitution of Party Upon Death of Claimant—HA-539

20 CFR 404.957(c)(4) and 416.1457(c)(4)

OMB No. 0960-0288



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  The current language, which dates back to the last reprint of the form, is now outdated.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





File Typeapplication/msword
File TitleSupporting Statement For Form HA-539, Notice Regarding Substitution of Party Upon Death of Claimant
Author689830
Last Modified By889123
File Modified2012-09-17
File Created2012-09-17

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