Addendum to the Supporting Statement for 0960-0009

Addendum to the Supporting Statement for Form SSA-3

Marriage Certification

20 CFR 404.725

OMB No. 0960-0009

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 revising the PRA Statement on this form.

Justification #2: 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  The current language, which dates back to the last reprint of the form, is now outdated.

• Change #3: Number the pages of the form. Page 1 and Page 2

Justification #3: This form may not always be printed doubled-sided. Numbered pages will account for when the form is not printed double-sided.

• Change #4: Remove “Reverse” in the lower right hand corner of the first page of the form.

Justification #4: This form may not always be printed doubled-sided. Numbered pages will account for when the form is not printed double-sided.

• Change #5: Change “REMARKS:” (Use this space and the reverse of this form for information about any other previous marriages, if necessary) to “REMARKS” (Use this space of this form for information about any other previous marriages, if necessary)

• Justification #5: Since there is a possibility that this form may be printed double-sided, we want to avoid allowing respondents to use the other side for their comments.

SSA will make these revisions upon OMB’s approval. These revisions do not affect the current burden information for this form.