Addendum to the Supporting Statement for 0960-0744

Addendum - 0744.doc

Request for Reinstatement (Title XVI)

Addendum to the Supporting Statement for 0960-0744

OMB: 0960-0744

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Addendum to the Supporting Statement for Form SSA-372

Request for Reinstatement (Title XVI)

20 CFR 416.999 - 416.999d

OMB No. 0960-0744


Revisions to the Collection Instrument


  • 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 The current language, which dates back to the last reprint of the form, is now outdated.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 Statement on agency forms. As a result, SSA is adding a Privacy Act Statement to this form.


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