Addendum to the Supporting Statement - 0960-0777

Addendum to the Supporting Statement for

Request for Accommodation in Communication Method

Form SSA-9000-F6

45 CFR 85.51

OMB No. 0960-0777

Revisions to the Collection Instruments

• Change #1: We are removing the occurs column under “Accommodation Information” (see page 2 of the iAccommodation screens)

Justification #1: We determined that collecting the occurrence of an accommodation was not a relevant information. The customer needing an accommodation under Section 504 of the Rehabilitation Act of 1973 must request an accommodation each visit, regardless if previously approved. We do not need the Accommodation occurrence.

• Change #2: We are moving the Certified and Qualified Video Remote Sign Language Interpreter (VRI) from a Standard Accommodation to Locally-Available Accommodation. Not all SSA offices offer VRI as an accommodation (see page 5 of the iAccommodation screens).

Justification #2: Not all SSA offices have the VRI equipment, Therefore, it cannot be listed and a Standard Accommodation. A Standard Accommodation is an accommodation that all SSA office are able to provide to members of the public. (See page 5 of the iAccommodate screens).

• Change #3: We are removing the Hearing Loop from the Locally-Available Accommodation list.

Justification #3: SSA does not have any offices set up to provide Hearing Loop technology as an accommodation to the public.

• Change #4: We are removing the One-Time Occurrence check box under Accommodation Referred to 504 Center (See page 6 of the iAccommodation screens).

Justification #4: The customer needing an accommodation under Section 504 of the rehabilitation Act of 1973 must request an accommodation each visit, regardless if previously approved. We do not need the Accommodation occurrence.

• Change #5: We are revising the PRA statement on this form.

Justification #5: 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  The current language, which dates back to the last reprint of the form, is now outdated.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 #6: We are revising the Privacy Act Statement on this form.

Justification #6: 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.

These revisions do not affect the public reporting burden.

SSA will implement the changes upon OMB approval.