Addendum to the Supporting Statement for 0960-0061

Addendum 0960-0061.docx

Farm Self-Employment Questionnaire

Addendum to the Supporting Statement for 0960-0061

OMB: 0960-0061

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Addendum to the Supporting Statement for Form SSA-7156

Farm Self-Employment Questionnaire

20 CFR 404.1082(c) & 20 CFR 404.1095

OMB No. 0960-0061


Minor Revisions to the Collection Instrument


SSA is making the following revisions:


  • Change #1: We are revising the Privacy Act Statement on this form.


Justification #1: 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.

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