TN 55 (06-24)

DI 25501.390 Considering Substantial Gainful Activity (SGA) and Past Work when Establishing the Established Onset Date (EOD)

A. Relationship between SGA, past work, and the established onset date (EOD)

1. Substantial gainful activity and the EOD

Substantial gainful activity (SGA) is a term we use to describe a specific level of work activity and earnings. We will not establish the EOD during a period a claimant engaged in SGA, except for establishing a freeze period for a claimant who meets our definition of statutory blindness.

2. How is work determined to be substantial and gainful?

Work is “substantial” if it involves engaging in significant physical or mental activities, or a combination of both.

Work is gainful if it is:

  • performed for pay or profit; or

  • the kind of work usually done for pay or profit, whether or not a profit is realized.

Work performed on a part-time basis may be SGA. Generally, we use earnings guidelines to decide if work is SGA. To determine if a claimant’s countable earnings received from employment are SGA, see Table of SGA Earnings and Guidelines, DI 10501.015 .

  • We evaluate a self-employed claimant’s work activity for SGA purposes either under the general evaluation criteria, which consist of three tests that consider the claimant’s activities and their value to the claimant’s business (see 20 CFR 404.1575 and 416.975), or, when applicable, under the countable income test. For example, if a claimant is self-employed, we may consider the type of services performed and the hours worked in the business. For information on developing and evaluating self-employment, see DI 10510.001.

  • If a claimant is “blind” as defined in the Social Security Act, the SGA earnings threshold is higher than for non-blind claimants. For more information on SGA and Title II claims, see DI 10515.001 through DI 10515.005.

3. The last day worked and the EOD

If medical and other evidence indicates the claimant was disabled on the last day they performed SGA, we establish the EOD on that day, even if the claimant worked a full day.

4. The EOD after a continuous period of SGA

Normally, we establish the EOD on the last day the claimant performed SGA

EXCEPTIONS: It is possible to establish the EOD before the last day of SGA if:

  • evidence supports an earlier EOD in a statutory blindness cases, or

  • there was no SGA for a period of at least 12 months after the beginning of a period of disability. (For more information on the effects of SGA on disability status, see DI 24001.010; and for information on closed periods under Title II, see DI 25510.010.)

If a claimant has been working continuously at the SGA level and income averaging or unsuccessful work attempt (UWA) provisions are not applicable, consider the entire period of work SGA, even if the earnings in the month SGA stopped have not yet reached the monthly SGA earnings level found in DI 10501.015.

EXAMPLE: Jeff has been working for the same company, doing the same job, and working at the SGA level for 15 years. Acceptable medical sources diagnosed Jeff with a mental impairment early in his career, but Jeff continued to work at an SGA level, with no subsidies, despite his impairment. Jeff stopped working on February 8, 2012 and subsequently applied for disability benefits. Jeff’s wages in the month of February were below SGA. We cannot establish the EOD earlier than February 8, 2012. The continuous period of work up to when Jeff stopped working on February 8, 2012 was performed at the SGA level.

5. Unsuccessful work attempts (UWA) and the EOD

A UWA is an effort to do work in employment or self-employment that discontinues or reduces to the non-SGA level after a short time (no more than 6 months) because of the impairment or the removal of special conditions related to the impairment that are essential to the further performance of work. For specific information on establishing the EOD when there is a UWA period, see DI 25501.400. A period of work is not SGA if the claimant performs work during a period determined to be a UWA. A UWA can occur before or after the alleged onset date (AOD). If a claimant engages in SGA after the AOD, the adjudicator must consider whether that work was a UWA (see DI 24005.001). If we determine a period of work is a UWA, we may establish the EOD before or during this period if the claimant meets the medical, vocational, and technical requirements for disability during the UWA period. For more information on the EOD and unsuccessful work attempts, see DI 25501.400.

6. The role of past work when establishing the EOD

We consider whether the claimant has the ability to perform past relevant work (PRW) when we make disability determinations at step four of the sequential evaluation process. We consider only work that was performed at the SGA level, that was performed within the relevant period, which is generally the last five years, that was not started and stopped in fewer than 30 calendar days, and that lasted long enough for the claimant to learn to do the work.

If we determine a claimant can perform PRW and we deny the claim, the claimant may appeal that denial. On occasion, when we adjudicate the claim at a later date and level of appeal, some of the claimant’s past work may no longer have been performed during the relevant period, and this could result in an allowance. In such cases, once we determine the claimant is currently disabled, we establish the EOD without considering when the past work stopped falling within the relevant period. For information on the relevant period for specific claim types, see DI 25001.001A.65.

B. Component roles concerning the relationship between SGA, past work, and the EOD

1. Field office (FO)

The FO documents the claimant’s pertinent work activity before and after the AOD on an SSA-821-F4 (Work Activity Report -- Employee) or an SSA-820-F4 (Work Activity Report -- Self-Employed Person) and an SSA-823 (Report of SGA Determination).

2. Disability Determination Service (DDS)

The DDS must:

  • be alert to evidence of work activity not developed by the FO that may be pertinent to the disability decision, including unresolved questions and discrepancies on the Disability Report—Adult (Form SSA-3368-BK).

  • make the final UWA determination. For an explanation of UWAs, refer to DI 24005.001 and for an explanation of establishing an EOD before or during a UWA period, see DI 25501.400.

  • recognize the effect of a period of work on the EOD. For an explanation of the effect of SGA on onset, refer to DI 24001.010B.

C. Component instructions concerning the relationship between SGA, past work, and the EOD

1. Field office (FO)

  • Resolve Title II, Title XVI, and concurrent Title II and Title XVI work issues when the question is whether the claimant or recipient is or was engaging in SGA after the AOD, or, if requested by the DDS, before the AOD.

  • Include consideration of impairment-related work expenses (IRWE), subsidies, and special wage situations when making an SGA determination. See DI 10500.000.

  • Record all findings concerning SGA on the SSA-820 or SSA-821 and the SSA-823, in accordance with DI 10510.025 and DI 10505.035. Alert the DDS when a UWA is possible. Be alert to the possibility of a UWA, see DI 11010.145.

NOTE: The DDS has final responsibility for decisions about whether a period of work qualifies as a UWA (except in continuing disability reviews (CDRs) that do not involve medical issues). For more information on UWAs, see DI 24005.001.

2. Disability Determination Service (DDS)

  • Notify the FO of any work not previously identified by the FO. Ask the FO to complete an SSA-820, or an SSA-821 and an SSA-823 and provide a potential onset date (POD), as well as a UWA recommendation, if applicable.

  • Make a final UWA determination, see DI 24005.001.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0425501390
DI 25501.390 - Considering Substantial Gainful Activity (SGA) and Past Work when Establishing the Established Onset Date (EOD) - 06/26/2024
Batch run: 11/19/2024
Rev:06/26/2024