Addendum to Supporting Statement 0540

Addendum to Supporting Statement - 0960-540 (9-5-18).docx

Pain Report - Child

Addendum to Supporting Statement 0540

OMB: 0960-0540

Document [docx]
Download: docx | pdf

Addendum to the Supporting Statement for Form SSA-3371-BK

Pain Report – Child

20 CFR 416.912

OMB No. 0960-0540


Minor Revisions to the Collection Instrument


SSA is making the following revision:


Change #1: We are revising Section E on pages 4, 6, and 8 from “E,” to “E.” with a period instead of a comma.


Justification #1: This is a typographical error; the comma should never have been there in lieu of the standard period that exists at all the other lettered sections.


  • 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 Created2021-01-20

© 2024 OMB.report | Privacy Policy