Addendum to Supporting Statement

Addendum to the Supporting Statement 0960-0460.doc

Marital Relationship Questionnaire

Addendum to Supporting Statement

OMB: 0960-0460

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Addendum to Supporting Statement for Form SSA-4178

Marital Relationship Questionnaire

20 CFR 416.1826

OMB No. 0960-0460


Minor Revisions to the Collection Instrument


SSA is making the following revisions:


We are making question 4 gender neutral by replacing the term “husband and wife” with “a married couple.”


File Typeapplication/msword
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
Last Modified By889123
File Modified2014-07-16
File Created2014-07-16

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