Addendum to Supporting Statement

Addendum - 0034.docx

Letter to Employer Requesting Information About Wages Earned by Beneficiary

Addendum to Supporting Statement

OMB: 0960-0034

Document [docx]
Download: docx | pdf

Addendum to Supporting Statement for Form SSA-L725

Letter to Employer Requesting Information About Wages Earned by Beneficiary

20 CFR 404.1520, 20 CFR 404.1571-404.1576, and 20 CFR 404.1584-404.1593

OMB No. 0960-0034



Minor Revisions to the Collection Instrument


SSA is making the following revision:


  • Change #1: We are revising the Privacy Act Statement on Form SSA-L725.


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-L725.

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

© 2024 OMB.report | Privacy Policy