Addendum to Supporting Statement for 0960-0050

Addendum to the Supporting Statement for Form SSA-7163

Questionnaire About Employment or Self-Employment Outside the United States

20 CFR 404.401(b)(l), 404.415 and 404.417

OMB Number 0960-0050

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 SSA-7163. The current language, which dates back to the last reprint of the form, is now outdated.

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  The current language, which dates back to the last reprint of the form, is now outdated