Addendum to the Supporting Statement 0960-0288

Addendum to the Supporting Statement 0960-0288.docx

Notice Regarding Substitution of Party Upon Death of Claimant

Addendum to the Supporting Statement 0960-0288

OMB: 0960-0288

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Addendum to the Supporting Statement for Notice Regarding

Substitution of Party Upon Death of Claimant – HA-539

20 CFR 404.957(c)(4) and 416.1457(c)(4)

OMB No. 0960-0288



Revisions to the Collection Instrument


SSA is making one revision:


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 back of the form.




File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleSupporting Statement For Form HA-539, Notice Regarding Substitution of Party Upon Death of Claimant
Author689830
File Modified0000-00-00
File Created2021-01-24

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