Work Activity Questionnaire

Non-Substantive Change request for SSA-3033.doc

Employee Work Activity Questionnaire

Work Activity Questionnaire

OMB: 0960-0483

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Justification for Non-Substantive Changes for (SSA-3033)

Supporting Statement for Work Activity Questionnaire,

Regulation 20 CFR 404.1574(a)(1)-(3),

OMB No. 0960-0483


Justification for Non-Substantive Changes to the Collection


Change 1: We are adding the beneficiary’s Social Security Number on every

page of Form SSA-3033.

Justification: Currently only the cover sheet of Form SSA-3033 displays the beneficiary’s SSN. If any subsequent pages are separated from the cover sheet the technician will not be able to identify who the subsequent pages belong to.



File Typeapplication/msword
File TitleADDENDUM TO SUPPORTING STATEMENT
AuthorNaomi
Last Modified By889123
File Modified2014-07-22
File Created2014-07-22

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