Combined Addendums for English Final Rule - RIN 0960-AH86

Combined Addendums for English Final Rule - RIN 0960-AH86.pdf

Removing Inability to Communicate in English as an Education Category

Combined Addendums for English Final Rule - RIN 0960-AH86

OMB: 0960-0813

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Addendum to the Supporting Statement for Form SSA-454-BK
Continuing Disability Review Report
20 CFR 404.1589 & 416.989
OMB No. 0960-0072
Background
This is a request for modification of the Form SSA-454-BK, Continuing Disability
Review Report, related to new regulation, Removing the Education Category - Inability
to Communicate in English - from the Disability Determination Process, RIN
0960-AH86. This new regulation is eliminating one of the five existing education
categories, namely the “inability to communicate in English” (20 CFR 404.1564 and
416.964). The new regulation does not affect the other educational categories. We
amended the Medical Vocational Guidelines in 20 CFR Part 404, Subpart P Appendix 2,
as appropriate, under the new regulations.
The effect of this regulation is to remove the consideration of English proficiency when
determining a claimant’s education category. We will consider the claimant’s actual
education attained without regard to the claimant’s proficiency in the use of English and
assign the claimant to one of the four remaining education categories, as appropriate:
illiteracy; marginal education; limited education; and high school education and above.
Sections 223(d)(2)(A) and 1614(a)(3)(B) of the Act require SSA to consider a claimant’s
education when determining an adult’s claim of disability. Sections 205(a) and
1631(d)(1) of the Act authorize SSA to establish procedures for collecting and verifying
relevant evidence. We collect such evidence using Form SSA-454-BK, Continuing
Disability Review Report. The information we collect assesses a claimant’s level of
education, and assigns the claimant to a specific education category.
Revisions to the Collection Instruments
SSA is making the following revisions to Form SSA-454-BK due to the new regulation,
RIN 0960-AH86:
•

Change #1: We added the question, “Can you read and understand English?” to
Section 1, and numbered it 1H. We also included Yes and No check boxes.
Justification #1: These changes will conform to the regulation considering a
claimant’s education when determining an adult’s claim of disability. The effect of
the regulations is to remove the consideration of English proficiency when
determining a claimant’s education category.

•

Change #2: We added the question, “Can you write more than your name in
English?” to Section 1, and numbered it 1I. We also included Yes and No check
boxes.

Justification #2: These changes will conform to the regulation considering a
claimant’s education when determining an adult’s claim of disability. The effect of
the regulations is to remove the consideration of English proficiency when
determining a claimant’s education category.
•

Change #3: We relabeled the original question 1G as 1J.
Justification #3: We did this to have the questions in sequential order.

•

Change #4: We revised the wording in Section 7A to add fill-ins underneath to
collect the Name of School; Date(s) of Attendance; Mailing Address; Type of
Program/Degree; and Date completed (or scheduled to be completed).
Justification #4: These changes will conform to the regulation considering a
claimant’s education when determining an adult’s claim of disability. The effect of
the regulations is to remove the consideration of English proficiency when
determining a claimant’s education category.

•

Change #5: We revised the date completed field in 7.B. to request the date in
MM/YYYY.
Justification #5: To promote consistency in the way we collect information, we are
revising dates related to determining a person’s education level to MM/YYYY
throughout this and other forms.

•

Change #6: In Section 7, we are adding the following three questions as 7.C., 7.D.
and 7.E.:
7.C. What written language do you use every day in most situations (at home, work,
school, in community, etc.)? ______________________________
7.D. In the language you identified in 7.C., can you read a simple message, such as
a shopping list or short and simple notes?
YES
NO
7.E. In the language you identified in 7.C., can you write a simple message, such as
a shopping list or short and simple notes?
YES
NO
Justification #6: The information is necessary to determine whether a person may
fall under “Illiteracy” category after we remove the “Inability to Communicate in
English” category from our rules. The revision will help us to collect information
necessary to determine whether a person (regardless of the language they speak) can
read and write at least a simple message in a language.

•

Change #7: Throughout the form, corrected the, “go to Section 5 – Medicines” page
number from 9 to 11.

Justification #7: We made this change to reflect the correct page number.
•

Change #8: We are revising the Privacy Act Statement on this form.
Justification #8: 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 #9: We are updating the Paperwork Reduction Act Statement on this form.
Justification #9: We are revising the PRA statement to reflect our current boilerplate
language. The current language, which dates back to the last reprint of the form, is
now outdated.

SSA is making the following revisions to the EDCS Screens for the SSA-454-BK due to
the new regulation, RIN 0960-AH86:
•

Change #1: We added the question, “Can you read and understand English?” in the
Your Language Information section. We also included Yes and No check boxes.
Justification #1: These changes will conform to the regulation considering a
claimant’s education when determining an adult’s claim of disability. The effect of
the regulations is to remove the consideration of English proficiency when
determining a claimant’s education category.

•

Change #2: We added the question, “Can you write more than your name in
English?” in the Your Language Information section. We also included Yes and No
check boxes.
Justification #2: These changes will conform to the regulation considering a
claimant’s education when determining an adult’s claim of disability. The effect of
the regulations is to remove the consideration of English proficiency when
determining a claimant’s education category.

•

Change #3: We revised the wording under the Education Section question, “Have
you received any education since MM/YYYY?” with additional fill-ins underneath to
collect the Name of School; Date(s) of Attendance; Mailing Address; Type of
Program/Degree; and Date completed (or scheduled to be completed).
Justification #3: These changes will conform to the regulation considering a
claimant’s education when determining an adult’s claim of disability. The effect of
the regulations is to remove the consideration of English proficiency when
determining a claimant’s education category.

•

Change #4: In the Language Information section, we are adding the following three
questions:

What written language do you use every day in most situations (at home, work,
school, in community, etc.)? ______________________________
In the language you identified above, can you read a simple message, such as a
shopping list or short and simple notes?
YES
NO
In the language you identified above, can you write a simple message, such as a
shopping list or short and simple notes?
YES
NO.
Justification #4: The information is necessary to determine whether a person may
fall under “Illiteracy” category after we remove the “Inability to Communicate in
English” category from our rules. The revision will help us to collect information
necessary to determine whether a person (regardless of the language they speak) can
read and write at least a simple message in a language.
•

Change #5: We are revising the Privacy Act Statement on the screen package.
Justification #5: 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 screen package.

•

Change #6: We are updating the Paperwork Reduction Act Statement on this form.
Justification #6: We are revising the PRA statement to reflect our current boilerplate
language. The current language, which dates back to the last reprint of the form, is
now outdated.

SSA will implement these Changes immediately upon OMB’s approval of this ICR,
0960-0813, within 60 days of the publication of the Final Rule, Removing Inability To
Communicate in English as an Education Category (RIN 0960-AH86), which published
February 25, 2020 at 85 FR 10586.
These revisions do not affect the public reporting burden.

Addendum to the Supporting Statement for Form SSA-3441
Disability Report-Appeal
20 CFR 404.1512, 416.912, 404.916(c), 416.1416(c), 422.140, 404.1713, 416.1513,
404.1740(b)(4), 416.1540(b)(4), and 20 CFR 405, Subpart C
OMB No. 0960-0144
Background
This is a request for modification of the Form SSA-3441, Disability Report - Appeal,
related to new regulation, Removing the Education Category - Inability to Communicate
in English - from the Disability Determination Process, RIN 0960-AH86. This new
regulation is eliminating one of the five existing education categories, namely the
“inability to communicate in English” (20 CFR 404.1564 and 416.964). The new
regulation does not affect the other educational categories. We amended the Medical
Vocational Guidelines in 20 CFR Part 404, Subpart P Appendix 2, as appropriate, under
the new regulations.
The effect of this regulation is to remove the consideration of English proficiency when
determining a claimant’s education category. We will consider the claimant’s actual
education attained without regard to the claimant’s proficiency in the use of English and
assign the claimant to one of the four remaining education categories, as appropriate:
illiteracy; marginal education; limited education; and high school education and above.
Sections 223(d)(2)(A) and 1614(a)(3)(B) of the Act require SSA to consider a claimant’s
education when determining an adult’s claim of disability. Sections 205(a) and
1631(d)(1) of the Act authorize SSA to establish procedures for collecting and verifying
relevant evidence. We collect such evidence using Form SSA-454-BK, Continuing
Disability Review Report. The information we collect assesses a claimant’s level of
education, and assigns the claimant to a specific education category.
Revisions to the Collection Instruments
SSA is making the following revisions to Form SSA-3441 due to the new regulation, RIN
0960-AH86:
•

Change #1: In 8B, we added “GED classes” and “college classes” to the question.
Justification #1: We are adding this information due to the new regulation to
eliminate the “inability to communicate in English” education category. This now
requires us to consider a claimant’s formal schooling without regard to the claimant’s
proficiency in English. Therefore, additional collection is required.

•

Change #2: In 8B, under Date(s) attended, we added two new questions to collect
Degree(s) attained, if any and Date of attainment (MM/YYYY).
Justification #2: We are adding this information due to the new regulation to
eliminate the “inability to communicate in English” education category. Requesting

information on when education was attained will allow adjudicators to determine how
relevant the information is in the disability adjudication process.
•

Change #3: We are revising the Privacy Act Statement on this form.
Justification #3: 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 #4: We are updating the Paperwork Reduction Act Statement on this form.
Justification #4: We are revising the PRA statement to reflect our current boilerplate
language. The current language, which dates back to the last reprint of the form, is
now outdated.

SSA is making the following revisions to the i3441 due to the new regulation, RIN
0960-AH86:
•

Change #1: We changed the question, “Have you completed any type of special job
training, trade or vocational school” to, “Since you last told us about your education,
have you completed or are you enrolled in any type of GED classes, specialized job
training, trade school, vocational school, or college classes?”
Justification #1: We are adding this information due to the new regulation to
eliminate the “inability to communicate in English” education category. This now
requires us to consider a claimant’s formal schooling without regard to the claimant’s
proficiency in English. Therefore, additional collection is required.

•

Change #2: Under the revised question, we added two new questions to collect
Degrees(s) attained, if any and Date of attainment.
Justification #2: We are adding this information due to the new regulation to
eliminate the “inability to communicate in English” education category. Requesting
information on when respondents attained education will allow adjudicators to
determine how relevant the information is in the disability adjudication process.

•

Change #3: We are revising the Privacy Act Statement on the screen package.
Justification #3: 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 screen package.

•

Change #4: We are updating the Paperwork Reduction Act Statement on this form.

Justification #4: We are revising the PRA statement to reflect our current boilerplate
language. The current language, which dates back to the last reprint of the form, is
now outdated.
SSA is making the following revisions to the 3441 EDCS Screens due to the new
regulation, RIN 0960-AH86:
•

Change #1: Under the Education Information section, we changed the question to,
“Since you last told us about your education, have you completed or are you enrolled
in any type of GED classes, specialized job training, trade school, vocational school,
or college classes?”
Justification #1: We are adding this information due to the new regulation to
eliminate the “inability to communicate in English” education category. This now
requires us to consider a claimant’s formal schooling without regard to the claimant’s
proficiency in English. Therefore, additional collection is required.

•

Change #2: Under the revised question, we added two new questions to collect
Degrees(s) attained, if any and Date of attainment.
Justification #2: We are adding this information due to the new regulation to
eliminate the “inability to communicate in English” education category. Requesting
information on when education was attained will allow adjudicators to determine how
relevant the information is in the disability adjudication process.

•

Change #3: We are revising the Privacy Act Statement on the screen package.
Justification #3: 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 screen package.

•

Change #4: We are updating the Paperwork Reduction Act Statement on this form.
Justification #4: We are revising the PRA statement to reflect our current boilerplate
language. The current language, which dates back to the last reprint of the form, is
now outdated.

SSA will implement these Changes immediately upon OMB’s approval of this ICR,
0960-0813, within 60 days of the publication of the Final Rule, Removing Inability To
Communicate in English as an Education Category (RIN 0960-AH86), which published
February 25, 2020 at 85 FR 10586.
These revisions do not affect the public reporting burden.

Addendum to the Supporting Statement for the SSA-3368
Disability Report - Adult
20 CFR 404.1512 and 416.912
OMB No. 0960-0579
Background
This is a request for modification of the Form SSA-3368, Disability Report - Adult, related to
new regulation, Removing the Education Category - Inability to Communicate in English - from
the Disability Determination Process, RIN 0960-AH86. This new regulation is eliminating one
of the five existing education categories, namely the “inability to communicate in English” (20
CFR 404.1564 and 416.964). The new regulation does not affect the other educational
categories. We amended the Medical Vocational Guidelines in 20 CFR Part 404, Subpart P
Appendix 2, as appropriate, under the new regulations.
The effect of this regulation is to remove the consideration of English proficiency when
determining a claimant’s education category. We will consider the claimant’s actual education
attained without regard to the claimant’s proficiency in the use of English and assign the
claimant to one of the four remaining education categories, as appropriate: illiteracy; marginal
education; limited education; and high school education and above.
Sections 223(d)(2)(A) and 1614(a)(3)(B) of the Act require SSA to consider a claimant’s
education when determining an adult’s claim of disability. Sections 205(a) and 1631(d)(1) of the
Act authorize SSA to establish procedures for collecting and verifying relevant evidence. We
collect such evidence using Form SSA-454-BK, Continuing Disability Review Report. The
information we collect assesses a claimant’s level of education, and assigns the claimant to a
specific education category.
Revisions to the Collection Instruments
SSA is making the following revisions to Form SSA-3368 due to the new regulation, RIN
0960-AH86:
•

Change #1: We are revising question 5.A. to include parenthesis after the question to
explain to select 12, if you have education equivalent to high school from another country.
In addition, we are requesting the Name of the school and mailing address.
Justification #1: We are making this change to conform to the revisions to the education
categories, namely the “inability to communicate in English” in 20 CFR 404.1564 and
416.964. In accordance with the new rules, we consider the claimant’s formal education
without regard to their English proficiency. Therefore, we are revising the question to
capture education completed in foreign countries.

•

Change #2: We are revising the question about special education in 5.B. as follows:

o We revised the wording of the question to, “Did you receive special education, such
as through an Individualized Education Plan (IEP) or equivalent education?”
o We added a question to determine the dates attended from and to (MM/YYYY).
o We added a question for the last grade you received special education with check
boxes for grades pre-K through 12.
o We added a question for the reason(s) for IEP or equivalent education, with the
option to select same as 5.A. or different from 5.A.
Justification #2: We are making this change to conform to the revisions to the education
categories, namely the “inability to communicate in English” in 20 CFR 404.1564 and
416.964. In accordance with the new rules, we may need to develop for school records to
document the claimant’s literacy.
•

Change #3: We added the below three questions to collect information about the ability to
read and write a simple message in any language, including yes and no boxes for 5.E. and
5.F.:
o 5.D. What written language do you use every day in most situations (at home, work,
school, in community, etc.)?
o 5.E. In the language you identified in 5.D., can you read a simple message, such as a
shopping list or short and simple notes?
o 5.F. In the language you identified in 5.D., can you write a simple message, such as a
shopping list or short and simple notes?
Justification #3: We are making this change to conform to the revisions to the education
categories, namely the “inability to communicate in English” in 20 CFR 404.1564 and
416.964. In accordance with the new rules, we need to document a claimant’s literacy in any
language.

•

Change #4: We are revising the Privacy Act Statement on this form.
Justification #4: 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 #5: We are updating the Paperwork Reduction Act Statement on this form.
Justification #5: We are revising the PRA statement to reflect our current boilerplate
language. The current language, which dates back to the last reprint of the form, is now
outdated.

SSA is making the following revisions to the EDCS Screens for the SSA-3368 due to the new
regulation, RIN 0960 AH86:
•

Change #1: We are revising the question, “What is the highest grade of school that you
completed?” to include parenthesis after that read, “Select 12, if you have education

equivalent to high school from another country.” In addition, we are requesting the
approximate date completed (MM/YYYY); Name of school; and mailing address.
Justification #1: We are making this change to conform to the revisions to the education
categories, namely the “inability to communicate in English” in 20 CFR 404.1564 and
416.964. In accordance with the new rules, we consider the claimant’s formal education
without regard to their English proficiency. Therefore, we are revising the question to
capture education completed in foreign countries.
•

Change #2: We are revising the question in the Special Education section as follows:
o We revised the wording of the question to, “Did you receive special education, such
as through an Individualized Education Plan (IEP) or equivalent education?”
o We added a question to collect the last grade you received special education, with
drop down box to select grades pre-K through 12.
o We added a space to input reason(s) for IEP or equivalent education.
Justification #2: We are making this change to conform to the revisions to the education
categories, namely the “inability to communicate in English” in 20 CFR 404.1564 and
416.964. In accordance with the new rules, we may need to develop for school records to
document the claimant’s literacy.

•

Change #3: We added the below three questions to collect information about the ability to
read and write a simple message in any language in the Language Information section:
o What written language do you use every day in most situations (at home, work,
school, in community, etc.)?
 Including a dropdown box to select a language, and a blank space to input
other language if not listed.
o In the language you identified above, can you read a simple message, such as a
shopping list or short and simple notes?
 Yes/No/Not yet answered check boxes
o In the language you identified above, can you write a simple message, such as a
shopping list or short and simple notes?
 Yes/No/Not yet answered check boxes
Justification #3: We are making this change to conform to the revisions to the education
categories, namely the “inability to communicate in English” in 20 CFR 404.1564 and
416.964. In accordance with the new rules, we need to document a claimant’s literacy in any
language.

•

Change #4: We are revising the Privacy Act Statement on the screen package.
Justification #4: 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 screen package.

•

Change #5: We are updating the Paperwork Reduction Act Statement on this form.
Justification #5: We are revising the PRA statement to reflect our current boilerplate
language. The current language, which dates back to the last reprint of the form, is now
outdated.

SSA will implement these Changes immediately upon OMB’s approval of this ICR, 0960-0813,
within 60 days of the publication of the Final Rule, Removing Inability To Communicate in
English as an Education Category (RIN 0960-AH86), which published February 25, 2020 at 85
FR 10586.
These revisions do not affect the public reporting burden.

Addendum to the Supporting Statement for Form SSA-3380-BK
Function Report – Adult Third Party
20 CFR 404.1512, 404.1564, 416.912, and 416.964
OMB No. 0960-0635
Background
This is a request for modification of the Form SSA-3380-BK, Function Report – Adult
Third Party, related to new regulation, Removing the Education Category - Inability to
Communicate in English - from the Disability Determination Process, RIN 0960-AH86.
This new regulation is eliminating one of the five existing education categories, namely
the “inability to communicate in English” (20 CFR 404.1564 and 416.964). The new
regulation does not affect the other educational categories. We amended the Medical
Vocational Guidelines in 20 CFR Part 404, Subpart P Appendix 2, as appropriate, under
the new regulations.
The effect of this regulation is to remove the consideration of English proficiency when
determining a claimant’s education category. We will consider the claimant’s actual
education attained without regard to the claimant’s proficiency in the use of English and
assign the claimant to one of the four remaining education categories, as appropriate:
illiteracy; marginal education; limited education; and high school education and above.
Sections 223(d)(2)(A) and 1614(a)(3)(B) of the Act require SSA to consider a claimant’s
education when determining an adult’s claim of disability. Sections 205(a) and
1631(d)(1) of the Act authorize SSA to establish procedures for collecting and verifying
relevant evidence. We collect such evidence using Form SSA-454-BK, Continuing
Disability Review Report. The information we collect assesses a claimant’s level of
education, and assigns the claimant to a specific education category.
Revisions to the Collection Instrument
•

Change #1: We are adding the Regulation citations for 20 CFR 404.1564 and
416.964 of the Code of Federal Regulations to this information collection.
Justification #1: We inadvertently did not include this citation previously, and are
correcting for that now.

SSA is making the following revisions to Form SSA-3380-BK due to the new regulation,
RIN 0960-AH86:
•

Change #1: We are changing Question 22a, Social Activities, to read, “How does
the disabled person spend time with others? (check all that apply)”, with the below
options:
o In person
o On the phone
o Email

o
o
o
o

Texting
Mail
Video chat (for example, Skype or Facetime)
Other:

Justification #1: We are making this change to conform to the regulation, Removing
Inability to Communicate in English as an Education category, to reflect more
modern means of communication, and whether the person is illiterate.
•

Change #2: We relabeled question, “Describe the kinds of things he/she does with
others” as 22b.
Justification #2: We made this change to further determine the ability to
communicate to conform to the new regulation that eliminates the “inability to
communicate in English” education category.

•

Change #3: We re-lettered previous questions 20b-20d to 20-c-20e
Justification #3: We made this change to correct the lettering of the questions.

•

Change #4: We are revising the Privacy Act Statement on this form.
Justification #4: 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 #5: We are updating the Paperwork Reduction Act Statement on this form.
Justification #5: We are revising the PRA statement to reflect our current boilerplate
language. The current language, which dates back to the last reprint of the form, is
now outdated

SSA will implement these Changes immediately upon OMB’s approval of this ICR,
0960-0813, within 60 days of the publication of the Final Rule, Removing Inability To
Communicate in English as an Education Category (RIN 0960-AH86), which published
February 25, 2020 at 85 FR 10586.
These revisions do not affect the public reporting burden.

Addendum to Supporting Statement for Form SSA-3373-BK
Function Report – Adult
20 CFR 404.1512 and 20 CFR 416.912
OMB No. 0960-0681
Background
This is a request for modification of the Form SSA-3373-BK, Function Report – Adult,
related to new regulation, Removing the Education Category - Inability to Communicate in
English - from the Disability Determination Process, RIN 0960-AH86. This new regulation
is eliminating one of the five existing education categories, namely the “inability to
communicate in English” (20 CFR 404.1564 and 416.964). The new regulation does not
affect the other educational categories. We amended the Medical Vocational Guidelines in
20 CFR Part 404, Subpart P Appendix 2, as appropriate, under the new regulations.
The effect of this regulation is to remove the consideration of English proficiency when
determining a claimant’s education category. We will consider the claimant’s actual
education attained without regard to the claimant’s proficiency in the use of English and
assign the claimant to one of the four remaining education categories, as appropriate:
illiteracy; marginal education; limited education; and high school education and above.
Sections 223(d)(2)(A) and 1614(a)(3)(B) of the Act require SSA to consider a claimant’s
education when determining an adult’s claim of disability. Sections 205(a) and 1631(d)(1)
of the Act authorize SSA to establish procedures for collecting and verifying relevant
evidence. We collect such evidence using Form SSA-454-BK, Continuing Disability
Review Report. The information we collect assesses a claimant’s level of education, and
assigns the claimant to a specific education category.
Revision to the Collection Instrument
SSA is making the following revisions to Form SSA-3373-BK due to the new regulation,
RIN 0960-AH86:
•

Change #1: We are changing Question 19a, Social Activities, to read, “How do you
spend time with others? (check all that apply)”, with the below options:
o In person
o On the phone
o Email
o Texting
o Mail
o Video chat (for example, Skype or Facetime)
o Other:
Justification #1: We are making this change to conform to the regulation, Removing
Inability to Communicate in English as an Education category, to reflect more modern
means of communication, and whether the person is illiterate.

•

Change #2: We made, “Describe the kinds of things you do with others” a standalone
question 19b, and renumbered the original questions 19b-d to 19c-e.
Justification #2: We made this change to further determine the ability to communicate
to conform to the new regulation that eliminates the “inability to communicate in
English” education category, as well as correctly numbering each question.

•

Change #3: We are revising the Privacy Act Statement on this form.
Justification #3: 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 #4: We are updating the Paperwork Reduction Act Statement on this form.
Justification #4: We are revising the PRA statement to reflect our current boilerplate
language. The current language, which dates back to the last reprint of the form, is now
outdated.

SSA will implement these Changes immediately upon OMB’s approval of this ICR,
0960-0813, within 60 days of the publication of the Final Rule, Removing Inability To
Communicate in English as an Education Category (RIN 0960-AH86), which published
February 25, 2020 at 85 FR 10586.
These revisions do not affect the public reporting burden.


File Typeapplication/pdf
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
File Modified2020-02-25
File Created2020-02-25

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