Justification for the Non-Substantive Changes - 0015

Justification for Non-Substantive Changes - 0960-0015.docx

Request for Withdrawal of Application

Justification for the Non-Substantive Changes - 0015

OMB: 0960-0015

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Justification for Non-Substantive Changes for Form SSA-521

Request for Withdrawal of Application

20 CFR 404.640, 416.355

OMB No. 0960-0015


Revision to the Collection Instrument


  • Change #1: Add a form letter to be included with the SSA-521 when we receive a request to withdraw an application at the hearing level.


Justification #1: We are adding this letter, as we believe it will increase the likelihood that recipients will return the form. In addition, this cover letter provides a way for the recipients to contact the office if they have any questions.


This action will not affect the public reporting burden.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleADDENDUM TO SUPPORTING STATEMENT
AuthorNaomi
File Modified0000-00-00
File Created2021-01-22

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