Addendum to the Supporting Statement 0960-0016

0016 Addendum.doc

Statement Regarding Date of Birth and Citizenship

Addendum to the Supporting Statement 0960-0016

OMB: 0960-0016

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Addendum to the Supporting Statement for

Form SSA-702

Statement Regarding Date of Birth and Citizenship

OMB No. 0960-0016



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  The current language, which dates back to the last reprint of the form, is now outdated.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

File Typeapplication/msword
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
Last Modified By889123
File Modified2014-04-22
File Created2014-04-22

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