Workers' Compensation/Public Disability Benefit Questionnaire

Section 224 of the Social Security Act (Act) provides for the reduction of disability insurance benefits (DIB) when the combination of DIB and any workers’ compensation (WC) or certain Federal, State or local public disability benefits (PDB) exceeds 80 percent of the worker’s pre-disability earnings. SSA field office staff conduct face-to-face interviews with applicants using the electronic SSA-546 WC/PDB screens in the Modernized Claims System (MCS) to determine if the worker’s receipt of WC or PDB payments will cause a reduction of DIB. The respondents are applicants for theTitle II DIB. We are submitting this change request for removal of the signature requirement.

The latest form for Workers' Compensation/Public Disability Benefit Questionnaire expires 2027-11-30 and can be found here.