TN 3 (02-95)
Sometimes claimants who are clearly ineligible for U.S. benefits complete Form SSA-2490-F4
and neglect to restrict their claim to benefits from the foreign country. They have
not completed an RSDI application.
In addition, claimants who are clearly ineligible for U.S. benefits may file a totalization
application with a foreign agency.
When a CA receives applications from persons, for example, who are too young, have
no child in care, or who have less than six QCs, consider it unnecessary to:
Do any further development
Obtain an RSDI application
Establish an MBR
Disallow the claim by completing all items on a "Folder Documentation Only" Form SSA-3428-U2.
If auxiliaries are involved, include them on the SSA-3428-U2. (See GN 01703.320 for instructions on completing the SSA-3428-U2.)
Send a disallowance notice appropriate to the situation, e.g., “Based on the date of birth, you alleged, (MM/DD/YY)....” Include the reconsideration and close out paragraphs in the notice.
Do not send a separate notice to the auxiliary(ies), but include the appropriate denial
paragraph(s) on the NH's notice. See NL 00711.310F for these paragraphs.
Prepare a signed and dated statement for the right side of the RSDI folder explaining
the denial; e.g., “NH has less than six QCs - RSDI benefits disallowed based on totalization application.
No RSDI application obtained” or “NH alleges age 55 and no disability alleged. No proof of age established. No RSDI