Document

Addendum - 0120

ICR 202201-0960-005 · OMB 0960-0120 · Object 117761500.

Document [docx]
Download: docx | pdf | html

Addendum to the Supporting Statement for Form SSA-2512

Pre-1957 Military Service Federal Benefit Questionnaire

20 CFR 404.1301-404.1371

OMB No. 0960-0120


Minor Revisions 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  The current language, which dates back to the last reprint of the form, is now outdated.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 this form.





File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleSupporting Statement For Form HA-539, Notice Regarding Substitution of Party Upon Death of Claimant
Author689830
File Modified0000-00-00
File Created2022-06-04