Addendum to the Supporting Statement OMB No. 0960-0038

Addendum 0960-0038.doc

Statement of Marital Relationship (by one of the parties)

Addendum to the Supporting Statement OMB No. 0960-0038

OMB: 0960-0038

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Addendum to the Supporting Statement for Form SSA-754-F4

Statement of Marital Relationship

20 CFR 404.726

OMB No. 0960-0038


Terms of Clearance

Concluded on the basis that SSA continue to review their burden estimate to ensure that it accurately reflects the amount of time applicants take to complete 25 questions.


SSA Response - We continue to review our burden estimate to ensure that it accurately reflects the amount of time applicants take to complete 25 questions.


Revisions to the 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.


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  The current language, which dates back to the last reprint of the form, is now outdated.


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File Modified2012-01-27
File Created2011-11-29

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