Addendum to the Supporting Statement for Form SSA-437
Complaint Form for Allegations of Discrimination in Programs or Activities
Conducted by the Social Security Administration
OMB No. 0960-0585
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.
Change #2: We are deleting the SSN section in question 2.
Justification #2: SSA does not need the SSN of anyone helping the complainant fill out the form.
Change #3: We are revising the language in question 3.
Old language: Please explain your relationship to any person(s) identified in question 2
New Language: Please explain your relationship to any person(s) identified in question 1
Justification #3: We revising the language, because we are asking the relationship to the person in #1.
| File Type | application/msword |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |