Addendum to Supporting Statement - 0689

Addendum to Supporting Statement for Form SSA-704

Certification of Contents of Document(s) or Record(s)

20 CFR 404.707, 404.715, 404.716, 404.720, 404.721, 404.723,

404.725, 404.727, 404.728, 404.730, 404.731, 404.732, 404.733,

404.735, 404.1370, 404.1371, 408.202 and 408.216

OMB No. 0960-0689

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.