Enter the SSA appropriation number applicable to the fiscal year during which the expense actually incurred. The SSA appropriation number for the fiscal year, October 1, 2022, through September 30, 2023, is 283 8704. Each succeeding year the third digit of the SSA appropriation number should be changed to correspond to the final digit of the current fiscal year, (e.g., for fiscal year 2024, the appropriation number will be 284 8704).

Enter the allotment code 4005113, followed by the object class code for Contracts for Foreign Claims Services 2533 (4005113-2533). These numbers do not change with the fiscal year.

Enter the consular code associated with country and FBU.

Select the type of development being requested from FBU as follows:

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  Medical and nonmedical records

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  Consultative Examinations

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  Other

IDU may select more than one type of development on the SSA-423. DCPS will include the barcode specific to the type of evidence requested on the Reply. If there are multiple types of development, DCPS will default to the barcode for MER (001). IDU (or the original requesting office) will ensure the evidence received is separated accordingly and included in the correct section of the certified electronic folder (CEF).

For more information on:

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  Organization of documents in the CEF, see DI 81001.005E.

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  Documents types, see DI 81020.040.

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  Moving documents in the CEF, see DI 81020.065D.

Include the claimant's allegations. The allegations populate from DCPS. IDU should review the allegations for completeness and correct any errors or misspellings.

Include:

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  The name of each medical and nonmedical source(s) needed.

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  The type of evidence needed, and dates requested or a statement, "Please provide all evidence from MM/DD/YYYY to MM/DD/YYYY."

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  The request for a medical opinion, if applicable.

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  The name of any questionnaire(s) (e.g., Physical Report, Cardiac Questionnaire, Speech and Language Questionnaire, SSA-5665 (Teacher Questionnaire), SSA-5666 (Request for Administrative Information), etc.) for the medical and nonmedical source(s) to complete, if applicable.

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  The name of any other enclosure(s) (e.g., SSA-827 (Authorization To Disclose Information To The Social Security Administration), etc.).

For more information on development of CEs, see DI 43510.020.

Include:

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  The type of examination and testing needed, as applicable.

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  The request for a medical opinion, if applicable.

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  The name of any questionnaire(s) (e.g., Range of Motion Chart, Muscle Evaluation, etc.) for the CE provider(s) to complete, if applicable.

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  The name of any other enclosure(s) (e.g., CE guidelines, SSA-827, etc.).

For more information on development of medical evidence, see DI 43510.015.

Include an explanation of other development needed, including, but not limited to:

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  Questionnaire(s) (e.g., SSA-3369 (Work History Report), SSA-3373 (Function Report - Adult), SSA-3380 (Function Report - Adult - Third Party), SSA-3385 (Report of Adult Functioning - Employer), etc.) for the claimant, parent of a minor child, legal guardian, third party, or employer to complete.

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  Assistance to the claimant.

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  Verification of foreign medical source's qualifications.

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  Field investigation(s).

FBU will obtain any questionnaires that are available in inForm. Otherwise, IDU will select enclosures for any questionnaire(s) or other documents not available in inForm. DCPS will upload these questionnaires and documents to CEF with the SSA-423.