Addendum to the Supporting Statement for
Report of Adult Functioning-Employer
20 CFR 404.1512 and 20 CFR 416.912
Form SSA-3385-BK
OMB No. 0960-0805
Revision to the Collection Instrument:
SSA is making the following revisions:
Change #1: We are revising the Privacy Act Statement on the form.
Justification #1: 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 |
| File Title | ADDENDUM TO SUPPORTING STATEMENT |
| Author | Naomi |
| File Modified | 0000-00-00 |
| File Created | 2021-01-15 |