Addendum to the Supporting Statement - 0744

Addendum 0744.docx

Request for Reinstatement (Title XVI)

Addendum to the Supporting Statement - 0744

OMB: 0960-0744

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Addendum Supporting Statement for Form SSA-372

Request for Reinstatement--Title XVI

20 CFR 416.999 - 416.999d

OMB No. 0960-0744



Minor Revisions to the Collection Instrument


SSA is making the following revisions:


  • Change #1:  On page one we are replacing SSN (Social Security Number) for Eligible Individual and Eligible Spouse with Beneficiary Notice Control number (BNC#).


Justification 1: We are making the change, due to legislative change. On

September 15, 2017, the President signed into law H.R. 624, the Social Security Number Fraud Prevention Act of 2017, which became Public Law No. 115-59. The law restricts the inclusion of SSNs on documents sent by mail by the Federal Government. We updated the form to comply with the new law to reflect the BNC#.


  • Change #2: SSA is updating the Privacy Act Statement on the form.


Justification #2: SSA’s Office of the General Counsel is conducting a systematic review of SSA’s Privacy Act Statements on agency forms. As a result, we are revising the Privacy Act Statements on this form.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
File Modified0000-00-00
File Created2021-01-20

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