Addendum - 0445

Addendum - 0445 (Final).docx

Application for Benefits Under the Italy-U.S. International Social Security Agreements

Addendum - 0445

OMB: 0960-0445

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Addendum to the Supporting Statement for Form SSA-2528-IT

Application for Benefits Under the Italy-U.S. International Social Security Agreement

20 CFR 404.1925

OMB No. 0960-0445


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  The current language, which dates back to the last reprint of the form, is now outdated.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

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