Addendum to Supporting Statement - 0693

Addendum - 0693.doc

Letter to Custodian of Birth Records

Addendum to Supporting Statement - 0693

OMB: 0960-0693

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Addendum to Supporting Statement for Form SSA-L106-F3 and SSA-L706

Letter to Custodian of School Records

Letter to Custodian of Birth Records

20 CFR 404.704, 404.716, 416.802 and 422.107

OMB No. 0960-0693



Minor Revisions to the Collection Instrument


SSA is making the following revisions:


  • 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 ByLowman, Eric
File Modified2016-08-22
File Created2016-08-22

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