Enter the allowance or denial RBC in Item 22 of the SSA-831

1. Closed Period Cases

• •

  RBC reflects the period of disability at the time of adjudication.

• •

  Establish a closed period of disability under Title II, per DI 25510.010

2. Collateral Estoppel

When the DDS adopts a prior favorable determination or decision, enter CE in Item 22 per DI 27515.001H.

3. Res Judicata

When you deny a claim on the basis of res judicata enter “S1” in Item 22 per DI 27516.005B.3.

4. Childhood Disability Beneficiary (CDB) Re-entitlement Claims

When adjudicating CDB re-entitlement claims, enter the pertinent RBC for the CDB allowance or denial. The RBC should reflect the nature of the allowance or denial on the date of adjudication. Refer to the allowance or denial chart in DI 23505.010B.3. For additional guidance see the following:

• •

  DI 23505.010A Childhood Disability Beneficiary (CDB) Re-entitlement

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  DI 10115.035A Requirements for Re-entitlement for a change in the re-entitlement period

5. Denials at the time of adjudication

The RBC reflects the nature of the allowance or denial at the time of adjudication. However, in denials, when a technical requirement is no longer met,

• •

  Use the RBC at the time the technical requirement was last met;

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  Select the appropriate code from the reference charts in DI 26510.045C, in this section.

¹ ER (earnings requirement); PP (prescribed period).

² Also use this RBC in situations where the claimant only meets the fully insured requirement at AOD or later, has alleged a visual impairment, and the claimant does not meet the definition of statutory blindness.

³ Use this code if the FO has determined that the claimant is engaging in SGA, the claimant alleges a visual impairment and the DDS determines that the claimant is not statutorily blind.(See Item 22 (Regulation Basis Code – Procedure – Title II – DIB-SGA Alleged, DI 26010.040C. )

⁴ Do not use M5 when the claimant cooperated but there is insufficient evidence of disability. In these situations, use F1.

⁵ Do not use M6 when the claimant cooperated but there is insufficient evidence of disability relating to the period before the insured status requirement was last met. In these situations, use F2.

¹ When the date of onset (in item 15A) is based on statutory blindness, but the claimant is found not disabled for cash benefit purposes (item 18A), enter RBC "A1."

¹ M5 is not used when the claimant has cooperated but there is insufficient evidence before age 22 to establish disability - use F1 instead.

² M6 is not used when the claimant has cooperated but there is insufficient evidence before the end of the reentitlement period to establish disability - use F2 instead.

                                             Parent Determination—Allowance

Complete entries in Item 22 of the SSA-831

• •

  Enter the allowance or denial RBC.

• •

  Use a RBC that reflects disability rather than blindness if the claimant was disabled in the month of filing and became statutorily blind in a later month.

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  In closed period cases, enter the appropriate regulation basis code applicable to the portion of the determination that reflects that the claimant was found to be disabled.

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  In collateral estoppel determinations, enter ACE in Item 22 per DI 27515.001H.

• •

  Enter the RBC that is applicable to any new determination prepared whenever a determination is returned by CO or DQB for further consideration.

¹ Enter the applicable Reg-Basis Code from this column when the applicant does not allege a visual impairment.

² Enter the applicable Reg-Basis Code from this column when the applicant alleges a visual impairment.

³ Also use this code when the applicant has the capacity for SGA but does not have a work history.

⁴ Also use this code in a multi-category case when a disability recipient is determined not to be statutorily blind.

⁵ Use this code if the FO has determined that the claimant is engaging in SGA, the claimant alleges a visual impairment and the DDS determines that the claimant is not statutorily blind. Use code N33 for both Engaging in SGA Without or With a Visual Impairment denials. Complicated systems changes prevent a new RBC from being created at this time. Code N44, formerly used in Engaging in SGA with a Visual Impairment denials, was redefined for use in DC Under Age 18 Impairment Not Severe denials.

⁶ Also use this code along with the appropriate DAA indicator code, when DAA is material to the determination of disability.

                                               BI or BS Claim - Allowance

                               

¹ Enter the applicable RBC from this column when the applicant does not allege a visual impairment.

² Enter the applicable RBC from this column when the applicant alleges a visual impairment.

³ Also, use this code along with the appropriate DAA indicator, when DAA is material to the determination of disability.

                               DC Claim and Claimant under Age 18—Allowance

                                                    BC Claim-Allowance