Addendum to the Supporting Statement for the SSA-8510

Addendum 0801.doc

Authorization for the Social Security Administration to Obtain Personal Information

Addendum to the Supporting Statement for the SSA-8510

OMB: 0960-0801

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Addendum to the Supporting Statement for Form SSA-8510

Authorization for the Social Security Administration to Obtain Personal Information

20 CFR 404.704; 404.820 - 404.823; 404.1926; 416.203; and 418.3001

OMB No. 0960-0801



Minor Revisions to the Collection Instrument


SSA is making the following revisions:


  • Change #1: We are revising the Privacy Act Statement on this form.


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 the form.

File Typeapplication/msword
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
Last Modified BySYSTEM
File Modified2018-05-21
File Created2018-05-21

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