Addendum to the Supporting Statement for 0960-0019

Addendum--0019.doc

Certificate of Responsibility for Welfare and Care of Child Not In Applicant's Custody

Addendum to the Supporting Statement for 0960-0019

OMB: 0960-0019

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Addendum to the Supporting Statement for Form SSA-781,

Certificate of Responsibility for Welfare and

Care of Child Not in Applicant's Custody

20 CFR 404.330, 404.339-404.341 and 404.348-404.349

OMB No. 0960-0019


Revisions to the Form


Two minor non-substantive revisions were made to the form SSA-781.


  • The Privacy Act Notice was updated to include detailed language about the use of the information in computer matching programs and to specify the other agencies with which we may share this information.


  • The Paperwork Reduction Act Statement was updated to show the correct address to which comments may be sent.

File Typeapplication/msword
File TitleAddendum to the Supporting Statement for Form SSA-760-F4
AuthorNaomi
Last Modified By177717
File Modified2007-03-13
File Created2007-03-13

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