Addendum to the Supporting Statement for 0960-0284

Addendum - 0284.doc

Waiver of Your Right to Personal Appearance Before an Administrative Law Judge

Addendum to the Supporting Statement for 0960-0284

OMB: 0960-0284

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Addendum to the Supporting Statement for Form HA-4608,

Waiver of Your Right to Personal Appearance Before an

Administrative Law Judge

20 CFR, 404.948(b)(1)(i) and 416.1448(b)(1)(i)

OMB No. 0960-0284


Revisions to the Collection Instrument


  • 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 HA-4608. The current language, which dates back to the last reprint of the form, is now outdated.


File Typeapplication/msword
File TitleRevised item 11 SSA-8
Last Modified ByNaomi
File Modified2013-07-12
File Created2013-05-10

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