Addendum to the Supporting Statement - 0783

Addendum - 0783.doc

Waiver of Supplemental Security Income Payment Continuation

Addendum to the Supporting Statement - 0783

OMB: 0960-0783

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Addendum to Supporting Statement for Form SSA-263-U2

Waiver of Supplemental Security Income Payment Continuation

20 CFR 416.1400-416.1422

OMB No. 0960-0783



Minor Revisions to the Collection Instrument


SSA is making the following revisions:


  • Change #1: We are revising the Privacy Act Statement on this form.


Justification #1: 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 ByLowman, Eric
File Modified2016-06-20
File Created2016-06-20

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