Addendum - 0803

Addendum - 0803.docx

Evidence From Excluded Medical Sources of Evidence

Addendum - 0803

OMB: 0960-0803

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Addendum to Supporting Statement for

Evidence From Excluded Medical Sources of Evidence (RIN 0960-AH92)

20 CFR 404.1503b and 416.903b

OMB No. 0960-0803



Minor Revisions to the Collection Instrument


SSA is making the following revisions:


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


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 this collection.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
File Modified0000-00-00
File Created2021-01-15

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