Addendum to Supporting Statement 0369

Addendum - 0369.docx

Annual Earnings Test Direct Mail Follow-up Program Notices

Addendum to Supporting Statement 0369

OMB: 0960-0369

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Addendum to the Supporting Statement for Forms SSA-L9778, SSA-L9779, SSA-L9781

SSA-L9784, SSA-L9785 and SSA-L9790

Annual Earnings Test Direct Mail Follow-up Program Notices

20 CFR 404.452-404.455

OMB No. 0960-0369


Minor Revisions to the Collection Instrument


SSA is making the following revisions:


  • Change #1: We are revising the PRA statement on this form.


Justification #1: 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  The current language, which dates back to the last reprint of the form, is now outdated.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
File Modified0000-00-00
File Created2021-01-13

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