Addendum to Supporting Statement 0960-0019

Addendum to the Supporting Statement 0960-0019.doc

Certificate of Responsibility for Welfare and Care of Child Not In Applicant's Custody

Addendum to Supporting Statement 0960-0019

OMB: 0960-0019

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Addendum to Supporting Statement for

Form SSA-781,

Certificate of Responsibility for Welfare and Care of

Child Not in Applicant's Custody

20 CFR 404.330, 404.339-404.341 and 404.348-404.349


OMB No. 0960-0019



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 the Supporting Statement for Form SSA-3462
Author177717
Last Modified By889123
File Modified2013-02-13
File Created2013-02-13

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