Addendum to the Supporting Statement for 0960-0416

0416 Addendum.doc

Statement for Determining Continuing Eligibility for Supplemental Security Income Payments

Addendum to the Supporting Statement for 0960-0416

OMB: 0960-0416

Document [doc]
Download: doc | pdf

Addendum to Supporting Statement for Form SSA-8203-BK

Statement for Determining Continuing Eligibility for

Supplemental Security Income Payment

20 CFR 416.204

OMB No. 0960-0416


Minor Revisions to the Collection Instrument


SSA is making the following revisions:


  • Change #1: We are revising the PRA statement on this form.


Justification #1: 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  The current language, which dates back to the last reprint of the form, is now outdated.


  • Change #2: We are revising the Privacy Act Statement on this form.


Justification #2: 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 form.

File Typeapplication/msword
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
Last Modified By889123
File Modified2016-02-09
File Created2016-02-09

© 2024 OMB.report | Privacy Policy