Identification Number:
DI 12095 TN 4
Intended Audience:See Transmittal Sheet
Originating Office:ORDP ODP
Title:Appeals Processing Exhibits
Type:POMS Transmittals
Program:All Programs
Link To Reference:
 

PROGRAM OPERATIONS MANUAL SYSTEM
Part DI – Disability Insurance
Chapter 120 – Appeals Processing
Subchapter 95 – Appeals Processing Exhibits
Transmittal No. 4, 06/09/2020

Audience

Originating Component

ODP

Effective Date

Upon Receipt

Background

This transmittal contains updates to the Program Operations Manual System (POMS) sections DI 12095.020, DI 12095.025, DI 12095.040, DI 12095.050, DI 12095.055, and DI 12095.065. These sections contain information about the forms used in processing requests for reconsideration of disability cessation cases. This is a Quick Action Transmittal and the changes do not introduce new policy or procedures.

Summary of Changes

DI 12095.020 SSA-832 Cessation or Continuance of Disability or Blindness Determination and Transmittal — Title XVI

We made the following changes to this section:

• We added an instructional reference for completing the form, and

• utilized plain language writing techniques.

 

DI 12095.025 SSA-833 Cessation or Continuance of Disability or Blindness Determination and Transmittal — Title II

We made the following changes to this section:

• We added an instructional reference for completing the form, and

• utilized plain language writing techniques.

 

DI 12095.040 SSA-789-U4 Request for Reconsideration - Disability Cessation

We made the following changes to this section:

• We removed ‘POMS reference OS 15020.090 and the suffix, ‘U4’ from the SSA-789 because the form had been revised since this 2011 publication,

• changed the title of section A from, ‘General’ to ‘Overview for filing the SSA-789,’

• reorganized this section to comply with plain language guidelines,

• removed the content for completing the SSA-561-U2 Request for Reconsideration for non-disability issues and provided a POMS references,

• converted phrases such as, ‘claim folders’ to ‘case folders,’ as appropriate,

• capitalized all references to, Title II or Title XVI, for consistency,

• clarified the procedures used for completing forms related to medical disability cessation cases,

• removed parentheses from the title of each form,

• created a new section DI 12026.021 and moved the content of this section to the new section, and

• archived this section

 

DI 12095.050 SSA-773-U4 Waiver of Right to Appear - Disability Hearing

We made the following changes to this section:

Subsection A

• We changed the title from ‘Completion of the Form’ to ‘Completion of the SSA-773-U4,’

• changed the subtitle from ‘General’ to ‘Overview of the SSA-773-U4’ and,

• removed the POMS reference to OS 15020.080 SSA-773-U4 Waiver of Right to Appear Disability Hearing, since this form is available online at inForm Library.

Subsection B

•expanded discussion to include additional instructions for completing the SSA-773-U4

• created a new section DI 12026.022 and moved the content of this section to the new section, and

• archived this section

DI 12095.055 SSA-769-U4 Request for Change in Time/Place of Disability Hearing

We made the following changes to this section:

Subsection A

  • We removed the forward slash (/) from the title of this section and replaced with the word ‘or.’

  • We changed the title of this subsection from ‘General’ to ‘General overview of the SSA-769-U4.’

Subsection B

  • We changed the title of this subsection from, ‘Completion of Form’ to ‘Handling a request for changing a currently scheduled hearing,’

  • added instructions for handling date and location changes, and

  • provided additional POMS references on completing the form

Subsection C

  • We added this new subsection entitled, ‘Reason for the Request,’ to provide additional information on how to complete this section of the form and to clarify the examples of ‘good cause,’ and

  • added instructional references for reconsideration requests that involve changes in a specific date, time or location

• created a new section DI 12026.025 and moved the content of this section to the new section, and

• archived this section

DI 12095.065 SSA-770-U4 Notice Regarding Substitution of Party Upon Death of Claimant - Reconsideration of Disability Cessation

We made the following changes to this section:

Subsection A

  • We removed the reference, ‘Go to OS 15020.077 to obtain the most current Form,’ since this form is available online at inForm Library,

  • changed the title from, ‘General’ to ‘Overview of the SSA-770-U4’ and,

  • added instructional references involving a substitute party in a request for reconsideration on continuing disability issues

Subsection B

  • We changed the title from, ‘Completion of Form Procedure’ to ‘Completion of the SSA-770-U4’ and,

  • added instructional references involving a substitute party in request for reconsideration on continuing disability issues

Subsection C

  • We added this new subsection entitled, ‘Substitute Party Wishes to Proceed with the Reconsideration of the Disability Cessation,’ to provide the options available to a substitute party regarding a scheduled hearing, and

  • added references for potential liability of overpayments and underpayments involved in a request for reconsideration on continuing disability issues

Subsection D

  • We added this new subsection entitled, ‘The substitute party states that he or she wants to withdraw the reconsideration request,’ to advise the substitute party of the potential liability for an overpayment or eligibility for an underpayment and,

  • provided additional instructions regarding overpayment recovery

 

DI 12095.020 SSA-832 (Cessation or Continuance of Disability or Blindness Determination and Transmittal — Title XVI)

To view this form, go to SSA-832 .

DI 12095.025 SSA-833 (Cessation or Continuance of Disability or Blindness Determination and Transmittal — Title II)

To view this form, go to SSA-833.


DI 12095 TN 4 - Appeals Processing Exhibits - 6/09/2020