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 The current language, which dates back to the last reprint of the form, is now outdated.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 Type | application/msword |
| File Title | Supporting Statement for Form SSA-1372-BK and SSA-1372-BK-FC, |
| Author | Linda Mitchell, OISP, 51327 |
| Last Modified By | Mandley, Tasha |
| File Modified | 2017-05-31 |
| File Created | 2017-03-22 |