Addendum to Supporting Statement - 0960-0058

Addendum to Supporting Statement - 0058.doc

Report on Individual with Mental Impairment

Addendum to Supporting Statement - 0960-0058

OMB: 0960-0058

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Addendum to Supporting Statement

OMB No. 0960-0058


Revision to Collection Instrument


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/msword
File TitleAddendum to Supporting Statement
AuthorDavidson, Liz
Last Modified ByDavidson, Liz
File Modified2009-01-12
File Created2009-01-12

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