Addendum to the Supporting Statement 0960-0105

Addendum to the Supporting Statement 0960-0105.doc

Advanced Notice of Termination of Child's Benefits, and Student's Statement Regarding School Attendance

Addendum to the Supporting Statement 0960-0105

OMB: 0960-0105

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Addendum to the Supporting Statement for

Form SSA-1372-BK and SSA-1372-BK-FC

Advance Notice of Termination of Child’s Benefits and

Student’s Statement Regarding School Attendance

20 CFR 404.350-404.352, 404.367-404.368


OMB No. 0960-0105


Minor Revisions to the Collection Instruments


SSA is making the following revisions:


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 forms.


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File Modified2014-01-02
File Created2014-01-02

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