Addendum to Supporting Statement for the HA-85, HA-86, and Regulations
Request to Withdraw a Hearing Request; Request to Withdraw an Appeals Council Request for Review; and Administrative Review Process for
Adjudicating Initial
Disability Claims
20 CFR Parts 404, 405, and 416
OMB No. 0960-0710
Minor Revisions to the Collection Instrument
SSA is making the following revisions:
Change #1: We are revising the Privacy Act Statement on these forms.
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 these forms.
| File Type | application/msword |
| File Title | Addendum to the Supporting Statement for Form SSA-3462 |
| Author | 177717 |
| Last Modified By | Lowman, Eric |
| File Modified | 2016-07-19 |
| File Created | 2016-07-19 |