Addendum to the Supporting Statement - 0744

Addendum - 0744.docx

Request for Reinstatement (Title XVI)

Addendum to the Supporting Statement - 0744

OMB: 0960-0744

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Addendum Supporting Statement for Form SSA-372

Request for Reinstatement--Title XVI

20 CFR 416.999 - 416.999d

OMB No. 0960-0744


Minor Revisions to the Collection Instrument


SSA is making the following revisions:


  • Change #1: We are replacing the BNC# with "Social Security Number" for both the "Eligible Individual" and "Eligible Spouse”


Justification #1: We are replacing the BCN# with the Social Security Number, because the BCN # presents some challenges to FO technicians. There is no way to propagate the BNC# into the form for technicians filling it out during the interview, instead, they have to take additional steps to generate a BNC# using the BNC# Generator application.


  • Change #2: SSA is updating the Privacy Act Statement on the 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, we are revising the Privacy Act Statements on this form.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
File Modified0000-00-00
File Created2022-05-31

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