OMB control number

Request for Review of Hearing Decision/Order

OMB 0960-0277 · SSA.

OMB 0960-0277

Claimants have a statutory right under the Act and current regulations to request review of an ALJ’s 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, or the Internet version of Form HA-520, the i520. SSA uses the information to establish the claimant filed the request for review within the prescribed time, and to ensure the claimant completed the requisite steps permitting the Appeals Council review. The Appeals Council uses the information to: (1) Document the claimant’s reason(s) for disagreeing with the ALJ’s decision or dismissal; (2) determine whether the claimant has additional evidence to submit; and (3) determine whether the claimant has a representative or wants to appoint one. The respondents are claimants requesting review of an ALJ’s decision or dismissal of hearing. We are making non-substantive changes to update the mailing address for the HA-520, and to incorporate inclusive language consistent with executive orders on diversity, equity, and inclusion.

The latest form for Request for Review of Hearing Decision/Order expires 2026-08-31 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All Historical Document Collections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
Approved without change
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
Approved without change
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
Approved without change
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
Approved without change
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
Approved without change
No material or nonsubstantive change to a currently approved collection 1998-09-30
Approved without change
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.