Ssa-l4201-bk

0960-0138 Justification for Non-Substantive Change.docx

Letter to Employer Requesting Wage Information

SSA-L4201-BK

OMB: 0960-0138

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Justification for Non-Substantive Changes to Form SSA-L4201-BK

Letter to Employer Requesting Wage Information

OMB No. 0960-0138





Change 1:

We are making Form SSA-L4201-BK a fillable PDF.


Change 1 Justification: We are making the form a fillable PDF to ensure SSA provides effective communication. We propose the fillable PDF version as a more accessible modality, and tol enhance our electronic services and recordkeeping. SSA will phase out the standard PDF versions from our Intranet websites and replace them with the fillable PDF file.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorNaomi
File Modified0000-00-00
File Created2021-01-25

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