Addendum to Supporting Statement - 0766

Addendum - 0766.doc

Request for Proof(s) from Custodian of Records

Addendum to Supporting Statement - 0766

OMB: 0960-0766

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Addendum to Supporting Statement for Form SSA-L707

Request for Proof(s) from Custodian of Records

20 CFR 404.703, 404.704, 404.720, 404.721, 404.723, 404.725, 404.728

OMB No. 0960-0766



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 Modified2016-11-15
File Created2016-09-06

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