Addendum to Supporting Statement

Addendum - 0576.docx

Representative Payee Report of Benefits and Dedicated Account

Addendum to Supporting Statement

OMB: 0960-0576

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Addendum to the Supporting Statement for Form SSA-6233

Representative Payee Report of Benefits and Dedicated Account

20 CFR 416.546, 416.635, 416.640, 416.665

OMB No. 0960-0576



Minor Revisions to the Collection Instrument


SSA is making the following revisions:


  • Change #1: SSA is updating the Privacy Act Statement on the form.


Justification #1: SSA’s Office of the General Counsel is conducting a systematic review of SSA’s Privacy Act Statements on agency forms. We are revising the Privacy Act Statements which require changes to remain in compliance.


  • Change #2: SSA is updating the Paperwork Reduction Act (PRA) Statement on the form.


Justification #2: We updated the language to reference our website, and to reflect the current language we used on all public use forms.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
File Modified0000-00-00
File Created2021-01-24

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