Notice Regarding Substitution of Party Upon Death of Claimant

OMB 0960-0288

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 2021-10-31 and can be found here.

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No material or nonsubstantive change to a currently approved collection 1999-09-24
Approved without change
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Extension without change of a currently approved collection 1994-12-29
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Approved without change
New collection (Request for a new OMB Control Number) 1982-03-18

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