Addendum to the Supporting Statement 0960-0124

Addendum to the Supporting Statement 0960-0124.doc

Statement of Income and Resources

Addendum to the Supporting Statement 0960-0124

OMB: 0960-0124

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Addendum to the Supporting Statement for

Form SSA-8010-BK

Statement of Income and Resources


OMB No. 0960-0124



Minor Revisions to the Collection Instrument


SSA is making the following revisions:


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 Modified2014-04-16
File Created2014-04-16

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