Addendum to Supporting Statement 0802

Addendum - 0802 (Final).docx

Data Exchange Request Form

Addendum to Supporting Statement 0802

OMB: 0960-0802

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Addendum for SSA-157

Data Exchange Request Form

OMB No. 0960-0802


Revision to the Collection Instrument


  • Change #1: We are changing the language in question #3 from


Old Language: “Briefly state the purpose for requesting this information and tell us how your organization will use the data.”


New Language: “In detail, state the business need for the requested data and explain how your organization intends to use it. Use box #36 for additional information or add attachments as needed.”


Justification #1: We are making this language change for clarification purposes.


  • Change #2: We are removing information in red font from question #4.


Justification# 2: We are making this change because the statement reading, “Foreign requesters can only request date and fact of death” is not accurate.


  • Change #3: We are changing the language in question #10 from


Old Language: “SSA generally requires that you pay for our services. Are you willing to incur costs?”


New Language: SSA generally requires reimbursement for the data and services provided. Are you willing to incur costs?”


Justification #3: We are making this language change for clarification purposes.


  • Change #4: We are changing the language in question #17


Old Language: “When do you expect this data exchange to begin? (A typical data exchange takes 12 months or more to fully implement.”


New Language: “Understanding that a typical data exchange takes 12 months or more to fully implement, when would you like this data exchange to begin?”


Justification #4: We are making this language change for clarification purposes.


  • Change #5: We are moving question #23 under question #17, making it the new question #18.


Justification #5: We are making this change because question #23 did not belong in the Security category of questions.


  • Change #6: We are revising the PRA 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  The current language, which dates back to the last reprint of the form, is now outdated.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 revisions upon OMB’s approval. These change will not change the current burden data for this information collection.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorBrock, Stephanie
File Modified0000-00-00
File Created2021-11-21

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