Addendum to Supporting Statement for 0960-0046

Addendum to the Supporting Statement for Form SSA-766
Statement of Self-Employment Income

20 CFR 404.101, 404.110, 404.1096 (a)-(d), 404.610-404.611, 422.505

OMB No. 0960-0046

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  The current language, which dates back to the last reprint of the form, is now outdated.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