Justification for a Non-Substantive Change 0960-0792

Justification for Non-Substantive Changes for SSA-187 and SSA-188

Assignment Agreement Title IV of the Intergovernmental Personnel Act of 1970

(5 U.S.C. 3371-3375)

5 CFR 334

OMB No. 0960-0792

Resubmission within One Year of OMB Approval:

We are submitting this request within One Year of OMB Approval, because the current contact listed on the form is retiring in 2023, and we were not aware at the time of our prior submission.

SSA is making the following changes to Form SSA-187

• Change #1: We are updating the contact information on page 1.

Current Language:

Karen Makino

Phone: 410-965-4473

Fax: 410-965-4391

Mail to: karen.makino@ssa.gov

Revised Language:

^DCHR ESSS at dchr.esss@ssa.gov.

Justification #1: We are updating the contact information, because the current contact person contact retires at the end of 2023.

SSA is making the following changes to Form SSA-188

• Change #2: We are updating the contact information on page 1.

Current Language:

Karen Makino

Phone: 410-965-4473

Fax: 410-965-4391

Mail to: karen.makino@ssa.gov

Revised Language:

^DCHR ESSS at dchr.esss@ssa.gov

Justification #2: We are updating the contact information , because the current contact person contact retires at the end of 2023. .

We will update the contact information upon OMB approval.