Addendum to the Supporting Statement for Form SSA-L4201
Letter to Employer Requesting Wage Information
OMB No. 0960-0138
Minor Revisions to the Collection Instrument
SSA is making the following revisions:
Change #1: SSA is updating the Privacy Act Statement of the form.
Justification #1: SSA’s Office of the General Counsel is conducting a systematic review of SSA’s Privacy Act Statements on agency forms. We are revising the Privacy Act Statements which require changes to remain in compliance.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Addendum to the Supporting Statement for Form SSA-3462 |
| Author | 177717 |
| File Modified | 0000-00-00 |
| File Created | 2021-01-26 |