Addendum to the Supporting Statement

Addendum for

BENEFICIARY INTERVIEW AND AUDITOR’S OBSERVATIONS

FORM SSA-322

OMB No. 0960-0630

Revisions to the Collection Instrument

Change 1: We are adding a question 4 on the Auditor’s Observations section.

New Language:

1. Did anything come to your attention to indicate the beneficiary’s needs were not being met?

	Yes
	No

If yes, explain.

Justification 1: We added question 4 to improve the usefulness of SSA-322. We plan to implement the new version after OMB’s approval.

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  The current language, which dates back to the last reprint of the form, is now outdated.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