Addendum - 0466

Addendum - 0466.docx

Request for Social Security Statement

Addendum - 0466

OMB: 0960-0466

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Addendum to the Supporting Statement for Form SSA-7004

Request for Social Security Statement

20 CFR 404.810

OMB No. 0960-0466


Revisions to the Collection Instrument


SSA is making the following revisions:


  • Change #1: We are removing the 2D barcodes on this form.


Justification #1: We are removing the barcodes because we no longer use them for this form.


  • Change #2: We are revising the PRA statement on this form.


Justification #2: 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  The current language, which dates back to the last reprint of the form, is now outdated.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 #3: We are revising the Privacy Act Statement on this form.


Justification #3: 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 this form.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
File Modified0000-00-00
File Created2022-10-08

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