Addendum to the Supporting Statement for 0960-0001

Addendum 0001.docx

Certificate of Support

Addendum to the Supporting Statement for 0960-0001

OMB: 0960-0001

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Addendum to the Supporting Statement for Form SSA-760-F4

Certificate of Support

20 CFR 404.408a, 404.370, and 404.750

OMB No. 0960-0001


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/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAddendum to the Supporting Statement for Form SSA-760-F4
AuthorNaomi
File Modified0000-00-00
File Created2021-01-20

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