Addendum to Supporting Statement for Form SSA-624
Representative Payee Evaluation Report
20 CFR 404.2065 and 416.665
OMB No. 0960-0069
Minor Revisions to the Collection Instrument
SSA is making the following revisions:
Change #1: SSA intends to provide Form SSA-624 in a fillable PDF file on our website, in place of the non-fillable PDF version we currently provide. We propose to make all form entries fillable.
Justification #1: This change will allow the respondents to continue to print and complete the form by hand, or, alternatively, complete the form using a computing device, such as a personal computer or handheld (mobile) device, print, and submit the form to SSA for processing.
After OMB approves the addition of the new fillable version of the form, SSA will phase out the standard PDF versions from our Internet and Intranet websites and replace them with the fillable PDF file.
This action does not affect the public reporting burden.
| File Type | application/msword |
| File Title | Addendum to the Supporting Statement for Form SSA-3462 |
| Author | 177717 |
| Last Modified By | Lowman, Eric |
| File Modified | 2016-06-20 |
| File Created | 2016-06-20 |