Addendum - 0511

Addendum - 0511.docx

Disability Update Report

Addendum - 0511

OMB: 0960-0511

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Addendum to Supporting Statement for Form SSA-455

Disability Update Report

20 CFR 404.1589-404.1595 and 416.988-416.996

OMB No. 0960-0511


Terms of Clearance


OMB placed the following Terms of Clearance on the COVID-related Change Request approved on 9/9/20:


Any decision to rescind the electronic collection instrument approved in this non‑substantive change will be considered a substantive revision and be required to go through federal register notice under the PRA.


SSA Response:

Once the current COVID-19 situation ends, if SSA decides to rescind the submittable PDF version of the form which we instituted due to the current COVID-19 emergency, we will complete a full information collection request (ICR) process to do so. Since the full ICR process requires us to publish two Federal Register Notices under the PRA, we will fulfil this Term of Clearance at that time.



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  The current language, which dates back to the last reprint of the form, is now outdated.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
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
File Modified0000-00-00
File Created2021-01-13

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