Addenum - 0349

Addendum - 0349 (Final).docx

Request for Reconsideration--Disability Cessation

Addenum - 0349

OMB: 0960-0349

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Addendum to the Supporting Statement for Form SSA-789

Request for Reconsideration – Disability Cessation

20 CFR 404.909, 404.1597(b), 416.995, & 416.1409

OMB No. 0960-0349


Minor Revisions to the Collection Instruments


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  The current language, which dates back to the last reprint of the form, is now outdated.


  • Change #2: We are revising the Privacy Act Statement on this form.


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 Statement on this form.





File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleSupporting Statement For Form HA-539, Notice Regarding Substitution of Party Upon Death of Claimant
Author689830
File Modified0000-00-00
File Created2021-07-02

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