OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Notice Regarding Substitution of Party Upon Death of Claimant

OMB 0960-0288 · SSA.

OMB 0960-0288

An ALJ may dismiss a request for a hearing on a pending claim of a deceased individual for Social Security benefits or Supplemental Security Income (SSI) payments. Individuals who believe they may be adversely affected by the dismissal may ask to be a substitute party for the deceased claimant by completing Form HA-539. The ALJs and the hearing office support staff use this form to (1) maintain a written record of the request; (2) establish the relationship of the requester to the deceased claimant; (3) determine the substituted individual's wishes regarding an oral hearing or decision on the record; and (4) admit the data into the claimant's official record as an exhibit. The respondents are individuals requesting to be a substitute party for a deceased claimant.

The latest form for Notice Regarding Substitution of Party Upon Death of Claimant expires 2027-08-31 and is listed under ICR 202606-0960-010.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form HA-539 Notice Regarding Substitution of Party Upon Death of ClaimantForm
Form HA-539 Notice Regarding Substitution of Party Upon Death of ClaimantForm
Justification for the Non-Substantive Changes - 0288.docxJustification for No Material/Nonsubstantive Change
Justification for the Non-Substantive Changes - 0288.docxJustification for No Material/Nonsubstantive Change
Supporting Statement - 0960-0288 (final).docxSupporting Statement A
Supporting Statement - 0960-0288 (final).docxSupporting Statement A
Notice Regarding Substitution of Party Upon Death of Claimant Form
Notice Regarding Substitution of Party Upon Death of Claimant Form
Notice Regarding Substitution of Party Upon Death of Claimant Other-Cover Letter

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202606-0960-010 No material or nonsubstantive change to a currently approved collection 2026-06-24 Approved without change
202107-0960-009 Revision of a currently approved collection 2021-09-30 Approved with change
201807-0960-010 Revision of a currently approved collection 2018-08-29 Approved without change
201708-0960-003 No material or nonsubstantive change to a currently approved collection 2017-08-04 Approved without change
201507-0960-008 Revision of a currently approved collection 2015-09-04 Approved without change
201208-0960-006 Revision of a currently approved collection 2012-12-03 Approved without change
200908-0960-013 Extension without change of a currently approved collection 2009-12-10 Approved without change
200701-0960-004 Extension without change of a currently approved collection 2007-02-15 Approved without change
200403-0960-005 Extension without change of a currently approved collection 2004-03-12 Approved without change
200103-0960-004 Extension without change of a currently approved collection 2001-03-29 Approved without change
199909-0960-013 No material or nonsubstantive change to a currently approved collection 1999-09-24 Approved without change
199802-0960-007 Extension without change of a currently approved collection 1998-02-23 Approved without change
199412-0960-002 Extension without change of a currently approved collection 1994-12-29 Approved without change
199111-0960-003 Extension without change of a currently approved collection 1991-11-07 Approved without change
199004-0960-005 Extension without change of a currently approved collection 1990-04-26 Approved without change
198704-0960-004 Revision of a currently approved collection 1987-04-22 Approved without change
198405-0960-004 Reinstatement with change of a previously approved collection 1984-05-03 Approved without change
198203-0960-009 New collection (Request for a new OMB Control Number) 1982-03-18 Approved without change