Addendum to the Supporting Statement 0960-0779

Addendum - 0779.docx

Important Information About Your Appeal, Waiver Rights and Repayment Options

Addendum to the Supporting Statement 0960-0779

OMB: 0960-0779

Document [docx]
Download: docx | pdf

Addendum to Supporting Statement for Form SSA-3105

Important Information About Your Appeal, Waiver Rights,

and Repayment Options

20 CFR 404.502-.521

OMB No. 0960-0779


Minor Revisions to the Collection Instrument


SSA is making the following revisions:


  • Change #1: SSA is updating 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 first page of the form.



1

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleADDENDUM TO SUPPORTING STATEMENT
AuthorJulie Gallagher
File Modified0000-00-00
File Created2021-01-20

© 2024 OMB.report | Privacy Policy