Addendum - 0960-0071

Addendum to Supporting statement.doc

Report of New Information in Disability Cases

Addendum - 0960-0071

OMB: 0960-0071

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Addendum to Supporting Statement for Form SSA-612

Report of New Information in Disability Cases

(20 CFR 404.408, 404.460, 404.468 and 404.1588)

OMB # 0960-0071



Minor Revisions to the Collection Instrument


SSA is making the following revisions:


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  The current language, which dates back to the last reprint of the form, is now outdated.


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 first page of the form.


File Typeapplication/msword
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
Last Modified ByMandley, Tasha
File Modified2009-02-19
File Created2009-01-27

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