Addendum to the Supporting Statement 0960-0776

Addendum.doc

Financial Disclosure for Civil Monetary Penalty (CMP) Debt

Addendum to the Supporting Statement 0960-0776

OMB: 0960-0776

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Addendum to Supporting Statement for Form SSA-640

Financial Disclosure for Civil Monetary Penalty (CMP) Debt
20 CFR 498
OMB No. 0960-0776



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  The current language, which dates back to the last reprint of the form, is now outdated.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 By889123
File Modified2012-04-16
File Created2012-04-16

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