Addendum to the Supporting Statement for 0960-0284

Addendum - 0284.docx

Waiver of Your Right to Personal Appearance Before an Administrative Law Judge

Addendum to the Supporting Statement for 0960-0284

OMB: 0960-0284

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Addendum to the Supporting Statement for Form HA-4608,

Waiver of Your Right to Personal Appearance Before a Judge

20 CFR, 404.948(b)(1)(i), 404.956, 416.1448(b)(1)(i), and 416.1456

OMB No. 0960-0284



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/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
File Modified0000-00-00
File Created2021-01-23

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