Addenum to Supporting Statement for 0960-0349

Addendum - 0349.docx

Request for Reconsideration--Disability Cessation

Addenum to Supporting Statement for 0960-0349

OMB: 0960-0349

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Addendum to the Supporting Statement for Form SSA-789

Request for Reconsideration – Disability Cessation

20 CFR 404.909 and 416.1409

OMB No. 0960-0349



Minor Revisions to the Collection Instrument


SSA is making the following revisions:


  • Change #1: In the “CHECK BLOCK 1 AND THE STATEMENTS THAT APPLY OR CHECK BLOCK 2” section, we are removing the words “face-to-face” from option #1.


Justification #1: We are removing these words as we conduct hearings in-person as well as through video teleconferencing. We are removing these words as they imply an in-person hearing.


  • Change #2: We are revising the Privacy Act Statement on this form.


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 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 Created2021-01-21

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