Addendum to the Supporting Statement 0960-0040

Addendum to the Supporting Statement for

Form SSA-7160-F4
Employment Relationship Questionnaire

20 CFR 404.1007

OMB No. 0960-0040

Minor Revisions to the Collection Instrument

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  The current language, which dates back to the last reprint of the form, is now outdated.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