iAppeals Flow Chart

iAppeals Screens for the final PSA (May 24)

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Introduction
This document contains the iAppeals screens as of May 16, 2007. The screens are
considered ‘draft’ only because the paper HA-501 and the SSA-561 are in process of
approval by the Office of Management and Budget (OMB). Thus, the details of the paper
forms could change, which could cause changes in their pages within the iAppeals
application.
The changes in this document since its distribution dated April 13 are listed below:
• Additional explanatory information has been provided on the entrance screenflow diagram.
• The banner links are shown on the Welcome and About This Internet Appeal
Process pages.
• Wording has been changed on three screens (Welcome, About the Request for
Hearing by Administrative Law Judge, and the message page Submitting
Additional Evidence).
• The wording for the Your Right to Representation link on the Your Right to
Representation page was updated so that the placeholder was removed.
• The font size on three message pages (Submitting Evidence, Right to
Representation, and Wage Earner) was made consistent.
• A new message page has been added, You Cannot Use the Internet to Complete
Your Appeal Request.
If this document is printed without using color, the yellow ‘sticky notes’ on a few pages
will appear as gray notes containing bulleted comments. They explain or provide
additional information about specific areas of pages, and they will not appear on the
screens.
Pages 3 and 4 provide the navigation path that shows the sequence of screens displayed
to users if they do not select a link or make any errors. Pages 5 through 31 show the
primary task screens as they are currently drafted for the iAppeals application. If the
appropriate Appeal Request for a user is a Request For Reconsideration rather than a
Request For Hearing By Administrative Law Judge, then page 23 through 28 would
replace the similar pages between Pages 9 and 16, with Pages 10 and 14 identical for both
types of appeals.
Pages 32 through 41 show secondary screens that are displayed by the user’s selecting a
link.

iAppeals Screens for the final PSA (May 24)

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iAppeals Entry Pages
Version 8.0
Modified 5/2 to remove reference to “printer” &
add explanation of why there is no #3 screen.

Starting URL

1. Welcome

CONTINUE

1a. Welcome Back
(EE009)

START

NOTE: The flow does
not contain a screen #3
because it was dropped
after the list of official
screen identifiers was
started. Thus, that
list does not include an
AP003 screen.

To wherever they were

2. About This Internet
Request & Report

START OVER Path
No Reentry Number or Match Fails

4. Should You Use
This Process
(Screening Questions)

Asks about: residence
receipt of notice

5. About Your Appeal

Including SSN “authenticity
verification” and current i3441
third-party info; propagate to
i3441 as unprotected field

Calls the SDRQ & MSSICS (& also find whether appeal request already filed)

6a. 501
Intro

6b. 561
Intro

Start Over

7. How Appeal
Request Works

8a. 501
Request
No Rep

Claimant

9a. 501
C-Submit

8b. 561
Request

X. Rep. Info.

No Rep

Rep

9b. 501
R-Submit

X. Rep. Info.
Claimant

9c. 561
C-Submit

Rep

9d. 561
R-Submit
Submit to ORS at this point.

10a. 501
C-Confirm

10b. 501
R-Confirm

10c. 561
C-Confirm

10d. 561
R-Confirm

11. How the Appeal Disability Report Works

12. About You:
General Information
1st View

13. Print Your Reentry
Number

All other views

Start existing screens
in i3441 with AY003.
Last edited 5/16/2007 8:58 AM

Propagates into i3441 if user
comes directly from submitting
appeals request:
name
SSN
DOB
address
Protects from editing:
same, except address
Start Over Path: No address is
propagated for the first viewing.

iAppeals Screens for the final PSA (May 24)

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