Addendum to Supporting Statement 0960-0049

Addendum - 0049.docx

Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA

Addendum to Supporting Statement 0960-0049

OMB: 0960-0049

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Addendum to Supporting Statement for

Forms SSA-7161-OCR-SM and SSA-7162-OCR-SM

Report to United States Social Security Administration by Person

Receiving Benefits for a Child or for an Adult Unable to Handle Funds;

Report to United States Social Security Administration

OMB No. 0960-0049


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.

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