Addendum to the Supporting Statement

Addendum 0623.doc

Authorization to Disclose Information to the Social Security Administration

Addendum to the Supporting Statement

OMB: 0960-0623

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Addendum to the Supporting Statement for Form SSA-827

Authorization to Disclose Information to the Social Security Administration (SSA)

20 CFR Subpart P, 404.1512 and Subpart I, 416.912

OMB No. 0960-0623



Minor Revisions to the Collection Instrument


SSA is making the following revisions:


We are removing the modality “Reading the Internet Instructions” from the burden chart. The respondents who read the Internet instructions are already included in the total respondents for this collection.


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 Modified2014-05-30
File Created2014-05-30

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