Response to Notice of Revised Determination

OMB 0960-0347

OMB 0960-0347

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.

The latest form for Response to Notice of Revised Determination expires 2022-03-31 and can be found here.

All Historical Document Collections
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No material or nonsubstantive change to a currently approved collection 2024-04-22
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Revision of a currently approved collection 2022-02-25
Approved without change
Revision of a currently approved collection 2019-01-25
Approved with change
Extension without change of a currently approved collection 2015-11-27
Approved without change
Revision of a currently approved collection 2013-01-03
Approved without change
Revision of a currently approved collection 2009-12-17
Approved without change
Extension without change of a currently approved collection 2007-03-26
Approved without change
Extension without change of a currently approved collection 2004-05-03
Approved without change
Extension without change of a currently approved collection 2001-05-25
Approved without change
Extension without change of a currently approved collection 1998-05-12
Approved without change
Reinstatement without change of a previously approved collection 1995-04-03
Approved without change
Revision of a currently approved collection 1992-01-29
Approved without change
Revision of a currently approved collection 1989-03-09
Approved with change
No material or nonsubstantive change to a currently approved collection 1987-09-01
Approved without change
Revision of a currently approved collection 1986-05-01
Approved with change
No material or nonsubstantive change to a currently approved collection 1985-08-15
Approved with change
No material or nonsubstantive change to a currently approved collection 1984-09-12
Approved without change
New collection (Request for a new OMB Control Number) 1983-08-12

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