Addendum to the Supporting Statement for
Form HA-504, Acknowledgement of Receipt (Notice of Hearing)
Form HA-L83, Acknowledgement of Receipt (Notice of Hearing) Cover Letter
Form HA-55, Objection to Appearing by Video Teleconferencing
Form HA-510 and HA-510-OP1, Waiver of Written Notice of Hearing
20 CFR 404.936, 404.938, 404.950, 416.1436, 416.1438, 416.1450
OMB No. 0960-0671
Minor Revisions to the Collection Instrument
SSA is making the following revisions:
Change #1: We are revising the Privacy Act Statement on these forms.
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.
Change #2: We are revising the PRA statement on these forms (except for the HA-504, and HA-501-OP1).
Justification #2: 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 The current language, which dates back to the last reprint of the form, is now outdated.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Addendum to the Supporting Statement for Form SSA-3462 |
| Author | 177717 |
| File Modified | 0000-00-00 |
| File Created | 2021-02-02 |