Justification for Non-Substantive Change 0960-0805

Justification for a Non-Substantive Change 0960-0805.docx

Report of Adult Functioning-Employer

Justification for Non-Substantive Change 0960-0805

OMB: 0960-0805

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Justification for Non-Substantive Changes for Form SSA-3385

REPORT OF ADULT FUNCTIONING – EMPLOYER

20 CFR 404.1512 and 20 CFR 416.912

OMB No. 0960-0805


Justification for Non-Substantive Changes to the Collection


  • Change #1: We are adding a date field after the signature field.


Justification #1: We are adding the date field to stay aligned with the Social Security Administration’s (SSA)’s standard information collection format.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleADDENDUM TO SUPPORTING STATEMENT
AuthorNaomi
File Modified0000-00-00
File Created2024-07-25

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