Document

Addendum to the Supporting Statement for Form SSA-3462

ICR 201310-0960-002 · OMB 0960-0036 · Object 42757001.

Document Viewer [doc]

Status: Original and derived artifacts are available for this document.

Download: doc | pdf | html

Primary: htmlSource: application/msword
Loading document viewer…

Document Metadata

Record metadata
application/msword
Addendum to the Supporting Statement for Form SSA-3462
177717
Writer
2013-11-14
2026-09-13
complete

Extracted Text

Addendum to Supporting Statement for Forms SSA 1002 and 1003 
Statement of Agriculture Employer (Year Prior to 1988 and 1988 and Later)
20 CFR 404.702, 404.802, and 404.1056
OMB # 0960-0036



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  The current language, which dates back to the last reprint of the form, is now outdated.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