Addendum to the Supporting Statement

Addendum 0734.doc

Statement of Reclamation Action

Addendum to the Supporting Statement

OMB: 0960-0734

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Addendum to the Supporting Statement for Form SSA-1713

Statement of Reclamation Action

OMB No. 0960-0734



Terms of Clearance


OMB approves this previously unapproved collection. SSA must report the

resolution of this violation in the next ICB, and expeditiously identify and resolve any additional violations to ensure full compliance with the PRA.

SSA reported the resolution in ICB FY2006. SSA is always expeditiously identifying and resolving violations to ensure full compliance with the PRA.



Minor Revisions to the Collection Instrument


SSA is making the following revisions:


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  The current language, which dates back to the last reprint of the form, is now outdated.


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 first page of the form.



File Typeapplication/msword
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
Last Modified ByMandley, Tasha
File Modified2009-10-01
File Created2009-09-30

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