Addendum to the Supporting Statement for Form SSA-44
Medicare Income-Related Monthly
Adjustment Amount – Life-Changing Event
20 CFR 418.1205, .1255, .1265, .2205, .2255, .2265
OMB No. 0960-0784
Minor Revisions to the Collection Instrument
SSA is making the following revisions:
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 form.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | 889123 |
| File Modified | 0000-00-00 |
| File Created | 2021-01-28 |