Addendum - 0559

Addendum - 0559.docx

Plan to Achieve Self-Support (PASS)

Addendum - 0559

OMB: 0960-0559

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Addendum to Supporting Statement for Form SSA-545

Plan to Achieve Self-Support (PASS)

20 CFR 416.110(e), 416.1180-416.1182, & 416.1225-416.1227

OMB No. 0960-0559



Minor Revisions to the Collection Instrument


SSA is making the following revision:


  • 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.

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