Addendum to Supporting Statement 0960-0069

Addendum to the Supporting Statement 0960-0069.doc

Representative Payee Evaluation Report

Addendum to Supporting Statement 0960-0069

OMB: 0960-0069

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Addendum to the Supporting Statement for

Form SSA-624

Representative Payee Evaluation Report

20 CFR 404.2065 and 416.665


OMB No. 0960-0069


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 form.


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File Modified2013-05-09
File Created2013-05-09

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