Addendum to Supporting Statement for Forms:
SSA-L2765, Request for Self-Employment Information
SSA-L3365, Request for Employee Information
SSA-L4002, Request for Employer Information
20 CFR 422.120
OMB No. 0960-0508
Minor Revisions to the Collection Instruments
SSA is making the following revisions:
Change #1: We are revising the PRA statements on these forms.
Justification #1: We are revising the PRA statements to reflect our current boilerplate language. The current language, which dates back to the last reprint of the forms, is now outdated.
Change #2: We are revising the Privacy Act Statements on these forms.
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 Statements on these forms.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |