Addendum to the Supporting Statement for 0960-0300

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Claimant's Work Background

Addendum to the Supporting Statement for 0960-0300

OMB: 0960-0300

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Addendum to the Supporting Statement for Form HA-4633

Claimant’s Work Background

20 CFR 404.1512(a); 404.1520(a)(4); 404.1565(b)

and 20 CFR 416.912(a); 416.920(a)(4); 416.965(b)

OMB No. 0960-0300


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 SSA-7163. The current language, which dates back to the last reprint of the form, is now outdated.


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  The current language, which dates back to the last reprint of the form, is now outdated.


File Typeapplication/msword
File TitleRevised item 11 SSA-8
Last Modified By889123
File Modified2014-07-07
File Created2014-07-07

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