OMB control number
Request for Reconsideration--Disability Cessation
OMB 0960-0349 · SSA.
When SSA determines that claimants’ disabilities medically improved; ceased; or are no longer sufficiently disabling, these claimants may ask SSA to reconsider that determination. SSA uses Form SSA-789 to arrange for a hearing or to prepare a decision based on the evidence of record. Specifically, claimants or their representatives use Form SSA-789 to: (1) ask SSA to reconsider a determination; (2) indicate if they wish to appear at a disability hearing; (3) submit any additional information or evidence for use in the reconsidered determination; and (4) indicate if they will need an interpreter for the hearing. The respondents are disability claimants for Social Security benefits or Supplemental Security Income (SSI) payments who wish to appeal an unfavorable disability cessation determination. We are submitting this non-substantive change request to update the Privacy Act Statement.
The latest form for Request for Reconsideration--Disability Cessation expires 2029-02-28 and can be found here.
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Form |
Supplementary Document |
Supporting Statement A |