Addendum to the Supporting Statement

Addendum 0499.doc

Questionnaire for Children Claiming SSI Benefits

Addendum to the Supporting Statement

OMB: 0960-0499

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Addendum to the Supporting Statement for

Questionnaire for Children Claiming SSI Benefits

Form SSA-3881

20 CFR 416.912(a)

OMB No. 0960-0499



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  The current language, which dates back to the last reprint of the form, is now outdated.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 Modified2014-02-25
File Created2014-02-25

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