Addendum to the Supporting Statement 0960-0104

Addendum to the Supporting Statement 0960-0104.doc

Petition To Obtain Approval of A Fee For Representing A Claimant Before The Social Security Administration

Addendum to the Supporting Statement 0960-0104

OMB: 0960-0104

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Addendum Supporting Statement for Form SSA-1560-U4

Petition to Obtain Approval of a Fee for

Representing a Claimant Before the Social Security Administration

20 CFR 404.1720 and 404.1725; 20 CFR 416.1520 and 416.1525

OMB No. 0960-0104



Minor Revisions to the Collection Instrument


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 Typeapplication/msword
File TitleAddendum to the Supporting Statement for Form SSA-1696-U4
Author177717
Last Modified By889123
File Modified2013-12-20
File Created2013-12-20

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