Justification for the Non-Substantive Changes for 0960-0288

Justification for Non-Substantive Change - 0288.docx

Notice Regarding Substitution of Party Upon Death of Claimant

Justification for the Non-Substantive Changes for 0960-0288

OMB: 0960-0288

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Justification for Non-Substantive Changes for the HA-539

Notice Regarding Substitution of Party Upon Death of Claimant

20 CFR 404.957(c)(4) and 416.1457(c)(4)

OMB No. 0960-0288


Revisions to the Collection Instrument


  • Change #1: Add cover letter to be included with the HA-539 when sending to the family of a claimant who passed away.


Justification #1: This letter will explain to the family of the claimant that there was a pending disability claim at the time of death. If there is an eligible person to assume the role of a substitute party to the claim, then they will need to fill out the provided HA-539 and return it to the hearing office within 10 days, or SSA will dismiss the deceased claimant's hearing request.



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleSupporting Statement For Form HA-539, Notice Regarding Substitution of Party Upon Death of Claimant
Author689830
File Modified0000-00-00
File Created2021-01-22

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