Addendum to Supporting Statement for Form SSA‑4641‑F4
Authorization for the Social Security Administration to Obtain
Account Records from a Financial Institution
20 CFR 416.200, 416.203, 404.508, and 416.553
OMB No. 0960-0293
Minor Revisions to the Collection Instrument
SSA is making the following revisions:
Change #1: We are revising the Privacy Act Statements on Form SSA-4641-F4 and its Internet version, the e4641.
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 Statements on the forms.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Addendum to the Supporting Statement for Form SSA-3462 |
| Author | 177717 |
| File Modified | 0000-00-00 |
| File Created | 2021-01-20 |