Addendum to the Supporting Statement for 0960-0017

Addendum - 0017.docx

Statement Regarding Marriage

Addendum to the Supporting Statement for 0960-0017

OMB: 0960-0017

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  1. Addendum to the Supporting Statement for Form SSA-753

  2. Statement Regarding Marriage

20 CFR 404.726

OMB # 0960-0017



Revisions to the Collection Instrument


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 The current language, which dates back to the last reprint of the form, is now outdated.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

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAddendum to the Supporting Statement for Form SSA-2528
AuthorNaomi Lebowitz
File Modified0000-00-00
File Created2021-01-28

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