Addendum to the Supporting Statement for
Forms SSA-9301, -9302, -9303, -9304, -9308, -9310,
-9311, -9312, -9313, -9314 -8510
Medicare Subsidy Quality Review Forms
20 CFR 418(B)(5)
OMB No. 0960-0707
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 The current language, which dates back to the last reprint of the form, is now outdated.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 forms.
| File Type | application/msword |
| File Title | Addendum to the Supporting Statement for Form SSA-3462 |
| Author | 177717 |
| Last Modified By | 889123 |
| File Modified | 2011-11-21 |
| File Created | 2011-09-19 |