Addendum to the Supporting Statement for 0960-0145

Addendum -0960-0145.docx

Statement for Determining Continuing Eligibility

Addendum to the Supporting Statement for 0960-0145

OMB: 0960-0145

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Addendum to the Supporting Statement for Form SSA-8202-BK

Statement for Determining Continuing Eligibility for

Supplemental Security Income Payment

20 CFR 416.204

OMB No. 0960-0145


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.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
File Modified0000-00-00
File Created2022-06-24

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