Addendum to Supporting Statement for 0960-0473

Addendum - 0473.docx

Employee Identification Statement

Addendum to Supporting Statement for 0960-0473

OMB: 0960-0473

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Addendum to the Supporting Statement for Form SSA-4156

Employee Identification Statement

20 CFR 404.702

OMB No. 0960-0473


Revision to the Collection Instrument

  • Change #1: SSA is updating the Privacy Act Statement on the SSA-4156.

  • Justification #1: SSA’s Office of the General Counsel is conducting a systematic review of SSA’s Privacy Act Statements on agency forms. The current language, which dates back to the last reprint of the form, is now outdated.

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