Addendum - 0699

Addendum to the Supporting Statement for Form SSA-1691

Social Security Administration Eligible Non-Attorney Representative

20 CFR 404.1717, 404.1745 - 404.1799, 416.1517, and 416.1545 - 416.1599

OMB No. 0960-0699

Revisions to the Collection Instrument

SSA is making the following revisions:

• Change #1: There are three (3) references on page 1 of the SSA-1691 to the representation website by the old name, “Attorneys and Appointed Representative.” We are changing it to its new name, “Representing Social Security Claimants.”

Justification #1: We are making this change to reflect the correct name of the website.

• Change #2: On page 2 of the SSA-1691, under heading “Types of Insurance,” we referred to the representation website by the old name “Attorneys and Appointed Representative.” We are changing it to its new name, “Representing Social Security Claimants.”

Justification #2: We are making this change to reflect the correct name of the website.

• Change #3: We are removing the second bullet regarding open-book reference materials, “One copy of the Compilation of Social Security Laws, Volume 1” on Page 3.

Justification #3: We are making this change, as the test-takers are no longer required to use this reference to take and complete the examination.

• Change #4: There are two (2) references on page 7 of the SSA-1691, under heading “Section C: Examination Information” to the representation website by the old name, “Attorneys and Appointed Representative.” We are changing it to its new name, “Representing Social Security Claimants.”

Justification #4: We are making this change to reflect the correct name of the website.

• Change #5: There are two (2) references on page 10 of the SSA-1691, under heading “Statement of Understanding” to the representation website by the old name, “Attorneys and Appointed Representative.” We are changing it to its new name, “Representing Social Security Claimants.”
  
  

Justification #5: We are making this change to reflect the correct name of the website.

• Change #6: We are revising the Privacy Act Statement on this form.
  
  Justification #6: 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.

SSA will implement the changes above upon OMB approval.

These actions do not affect the public reporting burden.