DI 26010: Completion of Form SSA-831-U5 in Blindness Cases
TN 2 (10-08)
A. Procedure for Title II — freeze-only allowance
Enter regulation basis code “A1”when:
The established onset date in Item 15A is based on statutory blindness, and
The claimant is found not disabled for cash benefit purposes (Item 18A).
B. Procedure for Title II — fully insured for blindness only — denial
Enter regulation basis code “F1” when the claimant:
Meets only the fully insured requirement for blindness at the alleged onset date or later,
Alleges a visual impairment, and
Has an impairment that does not meet the definition of statutory blindness.
C. Procedure for Title II — substantial gainful activity alleged in DIB case
Enter regulation basis code “N1” or “N2” when the claimant:
Is engaging in SGA, as determined by the field office;
Alleges a visual impairment; and
Has an impairment that does not meet the definition of statutory blindness.
D. Procedure for Title XVI allowances
Enter regulation basis code “A61” when statutory blindness is established for the following types of claims:
Blind Individual (BI),
Blind Spouse (BS), or
Blind Child (BC).
NOTE: If the claimant was disabled in the month of filing and became statutorily blind in a later month, see DI 26510.045B for the appropriate basis code entry.
E. Procedure for Title XVI denials
For regulation basis code charts for Title XVI denials with visual impairments, see DI 26510.045B., “Completion of Item 22 (Regulation Basis Code), Procedure - Title XVI — General.”