Response to Notice of Revised Determination

When SSA determines that 1) claimants for initial disability payments do not actually have a disability or 2) current records indicate the disability recipients' disability ceased, SSA notifies the disability claimants or recipients of this decision. In response to this notice, the affected claimants and disability recipients have the following recourse: 1) they may request a disability hearing to contest SSA's decision and 2) they may submit additional information or evidence for SSA to consider. Disability claimants, recipients, and their representatives use Form SSA-765, the Response to Notice of Revised Determination, to accomplish these two actions. The respondents are disability claimants, current disability recipients, or their representatives. We are submitting this non-substantive change to remove the signature line.

The latest form for Response to Notice of Revised Determination expires 2026-12-31 and is listed under ICR 202404-0960-006.