Addendum - 0351

Addendum - 0351.docx

Notice Regarding Substitution of Party Upon Death of Claimant Reconsideration of Disability Cessation

Addendum - 0351

OMB: 0960-0351

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Addendum to Supporting Statement for Form SSA-770

Notice Regarding Substitution of Party Upon Death of Claimant

Reconsideration of Disability Cessation

20 CFR Sections 404.907-404.921 and 416.1407-416.1421

OMB 0960-0351



Minor Revision 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  The current language, which dates back to the last reprint of the form, is now outdated.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/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
File Modified0000-00-00
File Created2021-01-20

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