TN 2 (10-08)
Complete only the following items (in addition to the identifying items that the field
office (FO) routinely completes):
Item 16A (Primary Diagnosis)—show “Not Statutorily Blind.”
Items 30, 31, 32, 33, 32A, and 32B—signature blocks.
Item 34 (Remarks)—show “SGA-Statutorily Blind decision only.”
NOTE: The FO incorporates the Disability Determination Services (DDS) determination in
a denial or cessation based on the non-blind SGA level.
Item 16A (Primary Diagnosis)—show “Statutory Blindness” as the primary diagnosis per
Complete the forms as normally required for an allowance or continuance for DWB and
CDB (other than issues of comparability) claimants.
NOTE: The FO effectuates an allowance or continuance, as usual.