Addendum to the Supporting Statement for Form SSA-3441
Disability Report-Appeal
20 CFR 404.1512 & 416.912, 20 CFR, 404.916(c) & 416.1416(c), and 20 CFR 405, Subpart C & 20 CFR 422.140
0MB No. 0960-0144
SSA is revising the language on page 8 of the SSA-3441 to maintain consistency on our forms. OMB approved the following language on page 10 of the SSA-3368 (0960-0579):
"Name of person completing this form if other than the disabled person".
SSA is making the same change to page 8 of the SSA-3441m by adding the phrase shown in bold above. The revised language is attached as a PDF.
| File Type | application/msword |
| File Title | Addendum to the Supporting Statement for Form SSA-3441 |
| Author | Naomi |
| Last Modified By | Davidson, Liz |
| File Modified | 2008-03-06 |
| File Created | 2008-03-06 |