Request for Review of Hearing Decision/Order

OMB 0960-0277

OMB 0960-0277

Claimants have a statutory right under the Social Security Act and implementing regulations to request review of an administrative law judge's (ALJ) hearing decision or dismissal of a hearing request on Title II and Title XVI claims. Claimants may request Appeals Council review by filing a written request using Form HA-520. A completed HA-520 ensures that SSA receives the information to establish the claimant filed the request for review within the prescribed time, and that the claimant has completed the requisite steps to permit review by the Appeals Council. The respondents are claimants requesting review of an ALJ's decision or dismissal of a hearing. This is a non-substantive Change Request to revise the form based on the publication of the Final Rule, Hearings Held by Administrative Appeals Judges of the Appeals Council, (RIN 0960 AI25).

The latest form for Request for Review of Hearing Decision/Order expires 2021-04-30 and can be found here.

All Historical Document Collections
Approved without change
No material or nonsubstantive change to a currently approved collection 2023-10-06
Approved with change
Revision of a currently approved collection 2021-03-05
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No material or nonsubstantive change to a currently approved collection 2020-11-17
Approved without change
No material or nonsubstantive change to a currently approved collection 2018-06-05
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Revision of a currently approved collection 2018-03-23
Approved without change
Revision of a currently approved collection 2017-04-28
Approved without change
No material or nonsubstantive change to a currently approved collection 2015-09-25
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No material or nonsubstantive change to a currently approved collection 2015-04-21
Approved without change
Revision of a currently approved collection 2014-05-20
Approved without change
Revision of a currently approved collection 2011-01-27
Approved without change
Revision of a currently approved collection 2008-03-13
Approved without change
Extension without change of a currently approved collection 2005-02-08
Approved without change
Revision of a currently approved collection 2001-12-17
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No material or nonsubstantive change to a currently approved collection 2001-09-24
Approved without change
Extension without change of a currently approved collection 1999-06-04
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No material or nonsubstantive change to a currently approved collection 1998-09-30
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No material or nonsubstantive change to a currently approved collection 1997-08-27
Approved without change
Revision of a currently approved collection 1996-06-24
Approved without change
Revision of a currently approved collection 1993-05-10
Approved without change
Revision of a currently approved collection 1990-04-26
Approved with change
No material or nonsubstantive change to a currently approved collection 1989-09-08
Approved without change
Revision of a currently approved collection 1987-04-22
Approved without change
Revision of a currently approved collection 1984-03-29
Approved without change
New collection (Request for a new OMB Control Number) 1982-02-08
OMB Details

Request for Review of Hearing Decision/Order - Paper Version

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form HA-520Request for Review of Hearing Decision/Orderwww.ssa.govForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


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