Effective Dates: 06/02/2021 - Present Previous | Next

TN 36 (06-21)

DI 39506.230 Time Report of Personnel Services for Disability Determination Services - Form SSA-4514

Procedure

1. Filing Instructions

Form SSA-4514 is required quarterly from each agency. Submit copies as follows:

  • •

    the original will be sent to the Regional Office--the Regional Office will set the due date for their states, and

  • •

    the Regional Office will review and approve the original and send to the SSA Central Office no later than the 5th day of the next month after the close of the quarter

2. Email Address

Contact the Regional Office for the correct email address.

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0439506230
DI 39506.230 - Time Report of Personnel Services for Disability Determination Services - Form SSA-4514 - 06/02/2021
Batch run: 06/02/2021
Rev:06/02/2021