Addendum - 0050

Addendum - 0050.docx

Questionnaire About Employment or Self-Employment Outside the United States

Addendum - 0050

OMB: 0960-0050

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Addendum to Supporting Statement for Form SSA-7163

Questionnaire About Employment or Self-Employment Outside the United States

20 CFR 404.401(b)(l), 404.415 and 404.417

OMB Number 0960-0050


Minor Revisions to the Collection Instrument


SSA is making the following revisions:


  • Change #1: We are revising the PRA statement on this form.


Justification #1: 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  The current language, which dates back to the last reprint of the form, is now outdated.


  • Change #2: We are revising the Privacy Act statement on this 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, SSA is updating the Privacy Act Statement on this form.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMandley, Tasha
File Modified0000-00-00
File Created2021-01-14

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