Addendum to the Supporting Statement 0960-0277

Addendum to the Supporting Statement 0960-0277.doc

Request for Review of Hearing Decision/Order

Addendum to the Supporting Statement 0960-0277

OMB: 0960-0277

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Addendum to the Supporting Statement for Form HA-520

Request for Review of Hearing Decision/Order


OMB No. 0960-0277


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 first page of the form.

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File Modified2014-03-19
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