Addendum - 0499

Addendum to the Supporting Statement for Form SSA-3881-BK

Questionnaire for Children Claiming SSI Benefits

20 CFR 416.912(a)

OMB No. 0960-0499

Minor Revisions to the Collection Instruments

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.

Terms of Clearance

OMB placed Terms of Clearance on this Information Collection when they last approved it on 12/28/2021:

• OMB Term:

The agency provided additional description of the information collection, adjusted the burden, and clarified electronic submission capability.

SSA Response:

In 2021, SSA provided additional description language regarding the information collection, adjusted the burden, and clarifies the electronic submission capability through SSA’s internal Electronic Disability Collect System (EDCS). Since 2021, SSA has expanded the description of the information collection to include requirements from M-22-10 (including Psychological Costs and Learning Costs). We also included more information on our future plans for creating a submittable PDF version of the form. As always, SSA will continue to revise the documentation as needed regarding new OMB requirements, or revisions to SSA procedures for this information collection.