Work Activity Report (Self-Employment)

SSA uses Form SSA-820-BK to determine initial or continuing eligibility for (1) Title II Social Security disability payments, or (2) Title XVI Supplemental Security Income (SSI) payments. Under Titles II and XVI of the Act, recipients receive disability and SSI payments based on their inability to engage in substantial gainful activity (SGA) due to a physical or mental condition. Therefore, when the recipients resume work, they must report their work so SSA can evaluate and determine by law whether they continue to meet the disability requirements. SSA uses Form SSA-820-BK to obtain information on self-employment activities of Social Security Title II and XVI disability applicants and recipients. We use the data we obtain to evaluate disability claims, and to help us determine if the claimant meets current disability provisions under Titles II and XVI. Since applicants for disability or SSI payments must prove an inability to perform any kind of SGA generally available in the national economy for which we expect them to qualify based on age, education, and work experience, any work an applicant performed until, or subsequent to, the date the disability allegedly began, affects our disability determination. The respondents are applicants and claimants for Social Security disability payments or SSI payments. We are submitting this Non-Substantive Change Request to revise the form and cover letter for clarity and to remove typos. We are also replacing the SSN with the BNC (Beneficiary Notice Control number), as per Public Law No. 115-59, and including the updated due process notice we inadvertently did not submit as part of the previous renewal.

The latest form for Work Activity Report (Self-Employment) expires 2021-01-31 and can be found here.