Addendum to Supporting Statement 0644

Addendum 0644.doc

The Ticket to Work and Self-Sufficiency Program, 20 CFR 411

Addendum to Supporting Statement 0644

OMB: 0960-0644

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Addendum to the Supporting Statement for the

Ticket to Work and Self-Sufficiency Program

20 CFR 411

OMB No. 0960-0644



Minor Revisions to the Collection Instrument


SSA is making the following revision:


  • Change #1: We are revising the Privacy Act Statement on this form.


Justification #1: 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 form.

File Typeapplication/msword
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
Last Modified By889123
File Modified2016-01-06
File Created2016-01-06

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