OMB control number
Request for Change in Time/Place of Disability Hearing
OMB 0960-0348 · SSA.
OMB 0960-0348
Claimants use Form SSA-769 to request a change in the time or place of a scheduled disability hearing. Disability hearing officers (DHO) use the form to determine whether to grant the requested change. When DHOs grant the request, they also use the form to reschedule and document the hearing. Respondents are claimants who wish to request a change in time or place of their hearing. We are submitting this Non-Substantive Change Request to remove the signature requirement from this form.
The latest form for Request for Change in Time/Place of Disability Hearing expires 2026-10-31 and can be found here.
Latest Forms, Documents, and Supporting Material
Document Name |
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Form |
Justification for No Material/Nonsubstantive Change |
Supporting Statement A |
All Historical Document Collections