Addendum to Supporting Statement

Addendum_-_0466[2].doc

Request for Social Security Statement

Addendum to Supporting Statement

OMB: 0960-0466

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Justification for Non-Substantive Change for SSA-7004

Request for Social Security Statement

20 CFR 404.810

OMB No. 0960-0466



Revisions to the Collection Instrument


We are revising the PRA statement for the Internet screens to reflect our current boilerplate language.  The current language on the screens, which dates back to the last reprint of the form, is now outdated.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 TitleAddendum to the Supporting Statement for Form SSA-2528
AuthorNaomi Lebowitz
Last Modified By889123
File Modified2013-02-26
File Created2013-02-26

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