Request for Reconsideration--Paper and MCS/SSI Claims System

Request for Reconsideration

Documents and Forms

Document Name Document Type
Form SSA-561-U2 Request for Reconsideration--Paper and MCS/SSI Claims System Form and Instruction
SSI Claims System Appeals Screens in Path Order.pdf Other-Internal SSI Claims System Scr
SSI Claims System Appeals Screens in Path Order.pdf Other-Internal SSI Claims System Scr
SSA-561 - Current MCS Screens.pdf Other-Internal MCS Screens
SSA-561 - Current MCS Screens.pdf Other-Internal MCS Screens
SSA-561-U2 Request for Reconsideration SSA-561 (revised).pdf Form and Instruction
SSA-561-U2 Request for Reconsideration SSA-561 (revised).pdf Form and Instruction
SSA-561-U2 (current).pdf Current SSA-561 IC Document
SSA-561-U2 (current).pdf Current SSA-561 IC Document

Information Collection (IC) Details

IC Title:	Request for Reconsideration--Paper and MCS/SSI Claims System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.1407-416.1421 20 CFR 418.1009 20 CFR 404.907-404.921 20 CFR 418.1325

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-561-U2	Request for Reconsideration	SSA-561 (revised).pdf	No		Fillable Printable
Other-Internal SSI Claims System Screens			SSI Claims System Appeals Screens in Path Order.pdf	Yes	Yes	Fillable Fileable Signable
Other-Internal MCS Screens			SSA-561 - Current MCS Screens.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 339,217	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	339,217	38,847	300,370
Annual IC Time Burden (Hours)	429,675	389,626	40,049
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Current SSA-561	SSA-561-U2 (current).pdf	03/14/2025

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.