OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Request for Change in Time/Place of Disability Hearing

OMB 0960-0348 · SSA.

OMB 0960-0348

Claimants use Form SSA-769 to request a change in the time or place of a scheduled disability hearing. Disability hearing officers (DHO) use the form to determine whether to grant the requested change. When DHOs grant the request, they also use the form to reschedule and document the hearing. Respondents are claimants who wish to request a change in time or place of their hearing. We are submitting this Non-Substantive Change Request to remove the signature requirement from this form.

The latest form for Request for Change in Time/Place of Disability Hearing expires 2026-10-31 and is listed under ICR 202409-0960-012.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SSA-769 Request for Change in Time/Place of Disability HearingForm
Form SSA-769 Request for Change in Time/Place of Disability HearingForm
Justification for the Non-Substantive Changes - 0348 (Removal of Signature Requirement).docxJustification for No Material/Nonsubstantive Change
Supporting Statement - 0348 (Final).docxSupporting Statement A
Supporting Statement - 0348 (Final).docxSupporting Statement A
Request for Change in Time/Place of Disability Hearing Form
Request for Change in Time/Place of Disability Hearing Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202409-0960-012 No material or nonsubstantive change to a currently approved collection 2024-10-02
202201-0960-003 Revision of a currently approved collection 2022-05-25 Approved without change
201810-0960-009 Revision of a currently approved collection 2019-02-04 Approved without change
201511-0960-002 Revision of a currently approved collection 2016-02-23 Approved without change
201301-0960-003 Revision of a currently approved collection 2013-04-23 Approved without change
201004-0960-009 Revision of a currently approved collection 2010-08-05 Approved without change
200707-0960-004 Extension without change of a currently approved collection 2007-08-23 Approved without change
200408-0960-005 Extension without change of a currently approved collection 2004-08-20 Approved without change
200108-0960-004 Extension without change of a currently approved collection 2001-08-08 Approved without change
199808-0960-008 Extension without change of a currently approved collection 1998-08-31 Approved without change
199506-0960-015 Revision of a currently approved collection 1995-06-30 Approved without change
199207-0960-002 Revision of a currently approved collection 1992-07-01 Approved without change
198906-0960-009 Revision of a currently approved collection 1989-06-28 Approved without change
198904-0960-031 No material or nonsubstantive change to a currently approved collection 1989-04-25 Approved with change
198709-0960-010 No material or nonsubstantive change to a currently approved collection 1987-09-01 Approved with change
198606-0960-005 Revision of a currently approved collection 1986-06-12 Approved without change
198508-0960-043 No material or nonsubstantive change to a currently approved collection 1985-08-15 Approved with change
198308-0960-007 New collection (Request for a new OMB Control Number) 1983-08-12 Approved without change