Request to Withdraw a Hearing Request; Request to Withdraw an Appeals Council Request for Review; and Administrative Review Process for Adjudicating Initial Disability Claims

Claimants have a statutory right under the Act and current regulations to apply for Social Security DIB or SSI payments. SSA must collect information from each step of the administrative review process to adjudicate claims fairly and efficiently. SSA collects this information to establish a claimant’s right to administrative review and the severity of the claimant’s alleged impairments. SSA uses the information to determine entitlement or continuing eligibility to DIB or SSI payments, and to enable appeals of these determinations. The respondents are applicants for Title II DIB or Title XVI SSI payments; their appointed representatives; legal advocates; medical sources; and schools. This is a non-substantive Change Request to revise the form based on the publication of the Final Rule, Hearings Held by Administrative Appeals Judges of the Appeals Council, (RIN 0960 AI25).

The latest form for Request to Withdraw a Hearing Request; Request to Withdraw an Appeals Council Request for Review; and Administrative Review Process for Adjudicating Initial Disability Claims expires 2022-12-31 and can be found here.

20 CFR 404.961, 416.1461, 405.330, 405.366

Federal Enterprise Architecture: Income Security - General Retirement and Disability