Addendum to Supporting Statement for Form SSA-3

Addendum 0009.doc

Marriage Certification

Addendum to Supporting Statement for Form SSA-3

OMB: 0960-0009

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Addendum to Supporting Statement for Form SSA-3

Marriage Certification

20 CFR 404.725

OMB # 0960-0009



Summary of Changes


We have made the following changes to From SSA-3:


  • Deleted “the” in the first sentence on the front page;

  • Inserted “reverse” at the bottom of the front page.

  • As a result of a systematic review of forms by the SSA Office of General Counsel, we have revised/updated the Privacy Act Statement .


We will issue old stock until exhausted and then we will use the revised version.



File Typeapplication/msword
File TitleAddendum to Supporting Statement for Form SSA-3
AuthorMJ Neubauer OEEP
Last Modified ByDebbie
File Modified2008-11-12
File Created2008-09-22

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