Addendum - 0768

Addendum - 0768 (Final).docx

Protection and Advocacy for Beneficiaries of Social Security (PABSS)

Addendum - 0768

OMB: 0960-0768

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Addendum to the Supporting Statement for

Protection and Advocacy for Beneficiaries of Social Security (PABSS)

20 CFR 435.51-435.52

OMB No. 0960-0768



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  The current language, which dates back to the last reprint of the form, is now outdated.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


  • Change 3: SSA developed our own Internet version of the PABSS data collection, Form SSA-4570.


Justification 3: Previously, our collection of this data was housed on our contractor’s website. We decided to remove the collection from their website and create our own version of the form.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
File Modified0000-00-00
File Created2025-03-19

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