Non-Substantive Change 0960-0349

Justification for Non-Substantive Changes for Form SSA-789

Request for Reconsideration – Disability Cessation

20 CFR 404.909, 404.1597(b), 416.995, & 416.1409

OMB No. 0960-0349

Justification for Non-Substantive Changes to the Collection or Resubmission of the Collection within One Year of OMB Approval

We are making non-substantive changes within one year of OMB Approval based on OMB’s Terms of Clearance:

Terms of Clearance: No later than six months after approval of this information collection request, the agency will conduct a non-substantive change to update the form to at least reflect the agreed-upon changes between the agency and OMB. The agency will continue to engage with OMB regarding further changes to this form which may reduce burden associated with requesting a reconsideration and requesting statutory benefits continuation during the reconsideration

process.

• Change #1: We are adding the following language on page 1 under the section: I AM SUBMITTING THE FOLLOWING ADDITIONAL INFORMATION (If NONE, Write None) (attach Additional page if needed)

  • New Language: I understand that I do not need to provide additional information or evidence to submit this form. I will be able to provide additional evidence until the date of the hearing. It is preferable that I provide additional information or evidence at the earliest possible time.

Justification #1: We are adding the language to reflect the agree-upon change between SSA and OMB.

• Change #2: We are revising the language on page1, box 2:

  • New Language: I do not wish to appear nor do I wish a representative to appear for me at the disability hearing and I request that a decision be made based on the evidence in my case (Complete SSA-773 Waiver of Right to Appear - Disability Hearing)

Justification #2: We are revising the language to reflect the agree-upon change between SSA and OMB.

Change 3: We are revising the PRA statements on this collection.

Justification #3: We are revising the PRA statements to reflect our current boilerplate language.  The current language, which dates back to the last reprint of the form, is now outdated.

• Change #4: We are revising the Privacy Act Statements on this collection.

Justification #4: SSA’s Office of the General Counsel is conducting a systematic review of SSA’s Privacy Act Statements on agency forms. As a result, SSA is updating the Privacy Act Statements on this collection.

This action will not affect the public reporting burden. We will implement the changes upon OMB approval.