Addendum to Supporting Statement 0470

Addendum 0960-0470.docx

Agency/Employer Government Pension Offset Questionnaire

Addendum to Supporting Statement 0470

OMB: 0960-0470

Document [docx]
Download: docx | pdf

Supporting Statement for Form SSA-L4163

Agency/Employer Government Pension Offset Questionnaire

20 CFR 404.408(a)

OMB No. 0960-0470



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 Created2022-10-04

© 2024 OMB.report | Privacy Policy