Addendum to Supporting Statement

Addendum 0719.doc

Application to Collect A Fee for Payee Services

Addendum to Supporting Statement

OMB: 0960-0719

Document [doc]
Download: doc | pdf

Addendum to Supporting Statement for Form SSA-445

Application to Collect a Fee for Payee Services

OMB No. 0960-0719




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  The current language, which dates back to the last reprint of the form, is now outdated.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 Modified2014-07-25
File Created2014-07-25

© 2024 OMB.report | Privacy Policy