Addendum to the Supporting Statement - 0037

Addendum - 0037.docx

Request for Waiver of Overpayment Recovery or Change in Repayment Rate

Addendum to the Supporting Statement - 0037

OMB: 0960-0037

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Addendum to Supporting Statement for Form SSA-632-BK

Request for Waiver of Overpayment Recovery

or Change in Repayment Notice

20 CFR 404.502-404.513, 20 CFR 404.515,

20 CFR 404.520-404.521, 20 CFR 416.550-416.570,

20 CFR 416.572, 20 CFR 416.581, and 20 CFR422.310

OMB No. 0960-0037



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 Created2021-01-22

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