Addendum to the Supporting Statement for 0960-0646

Addendum to Supporting Statement for Forms SSA-5665-BK and SSA-5666

Teacher Questionnaire and Request for Administrative Information

20 CFR 404.1513, 416.913, and 416.924a(a)

OMB No. 0960-0646

Minor Revisions to the Collection Instruments

SSA is making the following revisions:

• Change #1: We removed the burden for the paper versions of these forms.

Justification #1: Since we no longer use the paper versions of these forms unless there is an issue with the electronic versions, we folded the burdens for the paper versions into the burdens for the electronic versions.

• Change #2: We are revising the Privacy Act Statements on Forms SSA-5665-BK and SSA‑5666.

Justification #2: 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 Statements on these forms.