Addendum to the Supporting Statement for 0960-0347

Addendum - 0347.docx

Response to Notice of Revised Determination

Addendum to the Supporting Statement for 0960-0347

OMB: 0960-0347

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Addendum to the Supporting Statement for Form SSA-765

Response to Notice of Revised Determination

20 CFR 404.913-404.914, 404.992(b), 416.1413-416.1414, and 416.1492(d)

OMB No. 0960-0347


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  The current language, which dates back to the last reprint of the form, is now outdated.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 Created2022-02-27

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