OMB control number
Notice Regarding Substitution of Party Upon Death of Claimant Reconsideration of Disability Cessation
OMB 0960-0351 · SSA.
OMB 0960-0351
When a claimant dies before we make a determination on that person’s request for reconsideration of a disability cessation, SSA seeks a qualified substitute party who may choose to pursue the appeal. If SSA locates a qualified substitute party, the agency uses Form SSA–770–U4 to collect information about whether to pursue or withdraw the reconsideration request. We use this information as the basis for the decision to continue or discontinue with the appeals process. Respondents are individuals with a relationship to the deceased or the deceased’s estate who may be made a substitute party and proceed with or withdraw the reconsideration request.
The latest form for Notice Regarding Substitution of Party Upon Death of Claimant Reconsideration of Disability Cessation expires 2029-10-31 and is listed under ICR 202608-0960-012.