Addendum to the Supporting Statement for 0960-0288

Addendum - 0288.docx

Notice Regarding Substitution of Party Upon Death of Claimant

Addendum to the Supporting Statement for 0960-0288

OMB: 0960-0288

Document [docx]
Download: docx | pdf

Addendum to the Supporting Statement for Notice Regarding

Substitution of Party Upon Death of Claimant – HA-539

20 CFR 404.957(c)(4) and 416.1457(c)(4)

OMB No. 0960-0288



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  The current language, which dates back to the last reprint of the form, is now outdated.


  • 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 the form.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
File Modified0000-00-00
File Created2021-10-05

© 2024 OMB.report | Privacy Policy