In the first blank, enter the “Respond by Date.” The time period for filing for other
benefits is 30 calendar days from the date of the notice or, if the notice is mailed,
EXAMPLE: If you are mailing the notice on 6/1/07, you will enter a “Respond by Date” of 7/6/07.
In the second blank after “You will have to pay back any SSI you may have received
beginning...,” enter the month and year which represents the first month an overpayment begins if an individual does not
comply with the filing requirement.
NOTE: The entry is different when the notice is mailed during the last 5 days of the month.
EXAMPLE: The date on the notice is 11/30/07, assumed receipt of the notice is 5 days after
it is mailed or 12/5/07. The individual will have to repay any payments received beginning
with the month of December 2007. (See SI 00510.001.B.)