Addendum to the Supporting Statement 0960-0505

Addendum to the Supporting Statement 0960-0505.doc

Employer Verification of Records for Children Under Age Seven

Addendum to the Supporting Statement 0960-0505

OMB: 0960-0505

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Addendum to the Supporting Statement for

Form SSA-L3231-C1

Employer Verification of Records for Children Under Age 7

20 CFR 404.801-404.803, 404.821-404.822


OMB No. 0960-0505


Minor Revisions to the Collection Instrument


SSA is making the following revisions:


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  The current language, which dates back to the last reprint of the form, is now outdated.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


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File Modified2013-02-21
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