TN 1 (09-91)
GN 03360.999 Exhibits - Privacy Act Administration
Exhibit 1 - SSA-1723-U4 - Requisition and Receipt for Technical Materials and Instructions
(See GN 03360.040.E.)
Exhibit 2 - SSA-1841 - Certification of True Copy (See GN 03360.025.F.)
Exhibit 3 - SSA-1841 A - Certification of True Copy - File Box Copy (See GN 03360.025.F.)
Exhibit 4 - SSA-3179 - Freedom of Information Request (See GN 03360.045)
Exhibit 5 - SSA-3157 - Social Security Administration Facts About Computer Matching
Programs (See GN 03360.015)
Exhibit 6 - SSA-5000 - Collection and Use of Information by the Social Security Administration
(See GN 03360.015)
Exhibit 7 - SSA-4641-U2 - Authorization for the Social Security Administration to
Obtain Account Records From a Financial Institution (8-94) (See GN 03360.050.A.2.)
Exhibit 1 - SSA-1723-U4 (Requisition and Receipt for Technical Materials and Instructions)
Exhibit 2 - SSA-1841 - Certification of True Copy
Exhibit 3 - SSA-1841 A - Certification of True Copy - File Box Copy
Exhibit 4 - SSA-3179 - Freedom of Information Request - Front
Exhibit 4 - SSA-3179 - Freedom of Information Request - Back
Exhibit 5 SSA-3157 - Social Security Administration Facts About Computer Matching
Programs
Exhibit 6 SSA-5000 - Collection and Use of Information by the Social Security Administration
To view the form, go to SSA-5000.
Exhibit 7 SSA-4641-U2 - Authorization for the Social Security Administration to Obtain
Account Records From a Financial Institution (page 1)
Exhibit 7 SSA-4641-U2 - Authorization for the Social Security Administration to Obtain
Account Records From a Financial Institution (page 2)
Exhibit 7 SSA-4641-U2 - Authorization for the Social Security Administration to Obtain
Account Records From a Financial Institution (page 3)
Exhibit 7 SSA-4641-U2 - Authorization for the Social Security Administration to Obtain
Account Records From a Financial Institution (page 4)