DI 13095.000 Exhibits for FO CDR Processing

Subchapter Table of Contents
Section   Latest
Transmittal
DI 13095.001 Introduction TN BASIC 03-86
DI 13095.015 SSA-L1190-U2 -- Prereview Notice -- Title II -- MIE
DI 13095.020 SSA-L1191-U2 -- Prereview Notice -- Title XVI -- MIE
DI 13095.025 SSA-L1172-U2 --Prereview Notice -- Concurrent --MIE
DI 13095.030 SSA-L1219-U2 --Prereview Notice -- Title II - MIP
DI 13095.040 SSA-L1216-U2 -- Prereview Notice -Concurrent -- MIP
DI 13095.045 SSA-L293-U2 -- Nonscheduled Review - Title II
DI 13095.050 SSA-L295-U2 -- Prereview Notice -- Nonscheduled Review - Title XVI
DI 13095.055 SSA-L303-U2 -- Prereview Notice -- Nonscheduled Review -- Concurrent
DI 13095.065 SSA-454-BK (Continuing Disability Review Report) TN 10 06-92
DI 13095.070 SSA-882 (DO Report of Field Review of Continuing Disability) TN BASIC 03-86
DI 13095.075 SSA-4648-U3 (Title II/Title XVI Disability Claims Control and Determination Input) TN BASIC 03-86
DI 13095.080 SSA-4362 (Continuing Disability Review Summary Sheet) TN BASIC 03-86
DI 13095.085 SSA-821-BK (Work Activity Report -- Employee) TN BASIC 03-86
DI 13095.095 Form SSA-833-U3 (Cessation or Continuance of Disability or Blindness Determination and Transmittal) TN 12 08-93
DI 13095.105 Title II Cessation Basis Codes (Item 11 of SSA-833-U3) TN 12 08-93
DI 13095.115 Title II Continuance Basis Codes (Item 12 of SSA-833-U3) TN 12 08-93
DI 13095.125 List of Occupation Titles and Codes TN BASIC 03-86
DI 13095.130 List of Industry Codes and Titles TN BASIC 03-86
DI 13095.135 Why Review Was Made (WRM) (Item 20 of SSA-833-U5) TN BASIC 03-86
DI 13095.140 Model Letters and Miscellaneous Paragraphs -- Title II TN BASIC 03-86
DI 13095.150 SSA-4268-C4/U4 (Explanation of Determination) TN BASIC 03-86
DI 13095.155 SSA-L1013 (Continuance Notice -- Title II) TN 1 09-22
DI 13095.170 SSA-2456 (Expedite -- Potential Overpayment Case) TN BASIC 03-86
DI 13095.175 SSA-5526-U3 (Request for Assistance -- Disability) TN BASIC 03-86

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DI 13095.000 - Exhibits for FO CDR Processing - Table of Contents - 09/30/2022
Batch run: 09/30/2022
Rev:09/30/2022