Addendum to the Supporting Statement - 0791

Addendum - 0791.docx

Application for Access to SSA Systems

Addendum to the Supporting Statement - 0791

OMB: 0960-0791

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Addendum to Supporting Statement for Form SSA-120

Application for Access to SSA Systems

20 CFR 401.45

OMB No. 0960-0791



Minor Revisions to the Collection Instrument


SSA is making the following revision:


  • Change #1: We are revising the Privacy Act Statement on Form SSA-120.


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 Form SSA-120.

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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