NL: Notices, Letters and Paragraphs
A. Introductory Paragraphs
| Paragraph | Fill-ins | |
|---|---|---|
DIB and DWB | ||
| DWB and DIB—Affirmation of Denial, Cessation or Onset Date-Non-State-No Physician Participation | 501 | 1 |
| DWB and DIB Affirmation of Denial, Cessation or Onset Date—Non-State—Physician Participation | 501A | 1 |
DIB or Freeze | ||
| DWB and DIB Affirmation of Denial, Cessation or Onset Date—State—Physician Participation | 501B | 1 |
| DIB or Freeze—Affirmation of Denial, Cessation or Onset Date—Non-State—No Physician Participation | 504 | None |
| DIB or Freeze—Affirmation of Denial, Cessation or Onset Date—Non-State—Physician Participation | 504A | None |
CDB | ||
| DIB or Freeze—Affirmation of Denial, Cessation or Onset Date—State Physician Participation | 504B | None |
| CDB—Affirmation of Denial or Cessation—Non State—No Physician Participation | 505 | None |
| CDB Affirmation of Denial or Cessation—Non-State Physician Participation | 505A | None |
DWB | ||
| CDB—Affirmation of Denial or Cessation—State—Physician Participation | 505B | None |
| DWB—Affirmation of Denial, Cessation or Onset Date—Non-State—No Physician Participation | 570 | None |
| DWB—Affirmation of Denial, Cessation or Onset Date—Non-State—Physician Participation | 570.1 | None |
Miscellaneous | ||
| DWB—Affirmation of Denial, Cessation or Onset Date—State—Physician Participation | 570.2 | None |
| Title XVI Claims Escalated to Reconsideration Level | 416 | None |
| Reconsideration Affirmation Lead-in Paragraph | 556 | None |
| Escalated Title II Claim-Title XVI Claim at Reconsideration Level | 585 | None |
| Combined Initial - Reconsideration Determination | 586 | 1 |
| Escalated Title II Claim - Other Title II Claim at Reconsideration Level | 587 | 2 |
B. Disability Requirement, Explanation of Disability Provisions
| Paragraph | Fill-ins | |
|---|---|---|
DIB | ||
| DIB—Not Disabled—General | 510 | None |
| DIB—Not Disabled—Earnings Test Has Expired or Will Expire In or Before the Quarter Following the Date the Letter is Prepared | 511 | 2 |
| DIB—Not Disabled When Earnings Test Last Met—AOD Before Age 24 | 512 | 1 |
| DIB—Not Disabled When Earnings Test Last Met—AOD Between Ages 24-31 | 512.1 | 1 |
| DIB—Not Disabled When Earnings Test Last Met—AOD At or After Age 31—(Disability Not Due to Statutory Blindness) | 512.2 | None |
| DIB—Explanation of Disability Requirement | 520 | None |
| DIB—Explanation of Disability Requirement—Earnings Test Not Expired | 520.1 | 1 |
| DIB—Explanation of Disability Requirement—Earnings Test Expired—AOD Before Age 24 | 520.2 | 1 |
| DIB—Explanation of Disability Requirement—Earnings Test Expired—AOD Between Ages 24-31 | 520.3 | 1 |
| DIB—Explanation of Disability Requirement—Earnings Test Expired—AQD At or After Age 31—(Disability Not Due to Statutory Blindness) | 520.4 | 1 |
| DIB—Disabled in Quarter Alleged or Onset Established Later Than Alleged—Earnings Requirement Not Met—EOD Before Age 24 | 521.3 | |
| DIB—Disabled in Quarter Alleged or Onset Established Later Than Alleged—Earnings Requirement Not Met—EOD Between Ages 24-31 | 521A | 3 |
| Disabled in Quarter Alleged or Onset Established Established Later Than Alleged—Earnings Requirement Not Met—EOD At or After Age 31—(Disability Not Due to Statutory Blindness) | 521B | 4 |
| DIB—Not Disabled in AOD or At Any Time Thereafter Up to and Including Last Quarter in Which Earnings Requirement Met—AOD Before Age 24 | 521.1.2 | |
| DIB—Not Disabled in AOD or At Any Time Thereafter Up to and Including Last Quarter in Which Earnings Requirement Met—AOD Between Ages 24-31 | 521.11 | 2 |
| DIB—Not Disabled in AOD or At Any Time Thereafter Up to and Including Last Quarter in Which Earnings Requirement Met—AOD At or After Age 31—(Disability Not Due to Statutory Blindness) | 521.12 | 2 |
| DIB—Not Disabled at Any Time Earnings Requirement Met—AOD Before Age 24 | 521.20 | 1 |
| DIB—Not Disabled at Any Time Earnings Requirement Met—AOD Between Ages 24-31 | 521.21 | 1 |
| DIB—Not Disabled at Any Time Earnings Requirement Met—AOD At or After Age 31—(Disability Not Due to Statutory Blindness) | 521.22 | 1 |
| Statutory Blindness—Not Disabled At Any Time Earnings Requirement Met—AOD 1973 or Later | 521.23 | 1 |
| Statutory Blindness (1972 Amendments)—Not Insured at AOD-AOD 1973 or Later | 521.24 | 3 |
CDB | ||
| Statutory Blindness—Not Disabled When Earnings Requirement Test Last Met-AOD Before 1973 | 521.25 | 2 |
| CDB—Explanation of Disability Requirement | 522 | None |
| CDB—Disability Must Start Before Age 22 | 522.1 | None |
| CDB—Explanation of Claimant's Rights After Cessation | 522.2 | |
| CDB—7-Year Period for Reentitlement Ended Before EOD | 522.3 | 2 |
| CDB—Not Disabled At AOD or At Any Time Within 7-Year Period After End of Prior Entitlement | 522.4 | 2 |
| CDB—Reentitlement—Not Disabled At Any Time Before 7-Year Period Ended | 522.5 | 1 |
| CDB—Reentitlement—Disability More Than 7 Years After Prior Period Ended Cannot Serve to Qualify | 522.6 | None |
DWB | ||
| CDB—Reentitlement—Advice Regarding Worsening of Condition | 522.7 | 1 |
| DWB—Explanation of Disability Requirement (Widow) | 572 | None |
| DWB—Explanation of Disability Requirement (Widower) | 572.1 | None |
| DWB—Explanation of Disability Requirement (Surviving Divorced Wife) | 572.2 | None |
C. Disability Requirement, Explanation of Disability Provisions, Insert Guides
| Paragraph | Fill-ins | |
|---|---|---|
| DIB or Freeze-Termination Due to Work Activity | 530 | 5 |
| DIB or Freeze—Disability Must Exist When Earnings Requirement is Met | 533 | None |
| DIB or Freeze—Disability After Earnings Requirement Last Met Cannot Serve to Qualify | 533A | None |
| DIB or Freeze—Condition Not Severe When Earnings Requirement Met | 533B | None |
| DIB or Freeze—Disability Must Start At Least 5 Months Before Full Retirement Age | 534 | None |
| DIB or Freeze | 534A | None |
| DIB or Freeze—Disability Must Start At Least 5 Months Before the Month of Attaining Full Retirement Age and When Earnings Requirement Met | 535 | None |
| Definition of SGA | 536 | 1 |
| DWB—Disability Must Exist When Specified 7-Year Period Requirement Met | 577 | None |
| DWB—Disability After Specified 7-Year Period Cannot Serve to Qualify | 577.1 | None |
| DWB—Condition Not Severe When Specified 7-Year Requirement Last Met | 577.2 | None |
| DWB—Disability Must Start At Least 5 Months Before Age 60—Widow | 578 | None |
| DWB—Disability That Starts Less Than 5 Months Before Age 60—Cannot Serve to Qualify—Widow | 578.1 | None |
| DWB—Disability Must Start At Least 5 Months Before Age 60—Widower | 578.2 | None |
| DWB—Disability That Starts Less Than 5 Months Before Age 60—Cannot Serve to Qualify—Widower | 578.3 | None |
D. Earnings Requirement, Explanation of Earnings Provisions
| Paragraph | Fill-ins | |
|---|---|---|
DIB or Freeze | ||
| DIB or Freeze—Meeting Earnings Requirement After Onset Date | 541 | None |
| DIB or Freeze—Date Earnings Requirement Was Last Met | 542 | 1 |
| DIB or Freeze—Claimant Aged 62-65—Possible Entitlement to Reduced RIB | 543 | None |
| DIB or Freeze—Not Disabled—Claimant Will Attain Retirement Age Before Earnings Test Expires | 544 | None |
| DIB or Freeze—General Description of Earnings Requirement | 546 | None |
| DIB or Freeze—Description of 6/12 Test—Disability Before Age 24 | 546.1 | None |
| DIB or Freeze—Description of Earnings Requirement—Disability Between the Ages 24-31 | 546.2 | None |
| DIB or Freeze—Description of Earnings Requirement—Disability Age 31 or Later | 546.3 | None |
| Description of Earnings Requirement—Statutory Blindness—AOD 1973 or Later | 547 | None |
| Description of Old and New Earnings Requirement—Statutory Blindness | 548 | None |
DWB | ||
| DIB—Allowance Under 1972 Amendments—StatutoryBlindness | 549 | 3 |
| DWB—Explanation of Specified 7-Year Period (Widow) | 573 | None |
| DWB—Explanation of Specified 7-Year Period (Widower) | 573.1 | None |
| DWB—Explanation of Specified 7-Year Period (Surviving Divorced Wife) | 573.2 | None |
| DWB—Date Specified 7-Year Period Last Met | 575 | 1 |
| DWB—Seven Year Period Ended Before EOD | 575.3 | 2 |
| DWB—Not Disabled at AOD or at Any Time Within 7-Year Period | 575.5 | 2 |
E. Disability Requirement, Explanation of Disability Provisions, Cessation
| Paragraph | Fill-ins | |
|---|---|---|
DIB or FREEZE | ||
| Freeze Cessation | 523A | 2 |
| DIB Cessation—Work Activity—Trial Work Period | 524 | None |
| Freeze Cessation—Work Activity | 524A | None |
CDB | ||
| DIB Cessation—Work Activity—No Waiting Period Served | 524B | None |
| CDB Cessation—Work Activity—TWP Previously Used | 525(B) | None |
DWB | ||
| CDB—Denied Before Age 22—Possible Worsening of Condition | 525(C) | 2 |
| DWB Cessation—Medical Improvement—Widow | 576 | None |
| DWB Cessation—Medical Improvement—Widower | 576.1 | None |
| DWB Cessation—Medical Improvement—Surviving Divorced Wife | 576.2 | None |
| DWB Cessation—Work Activity—Widow | 576.3 | None |
| DWB—Cessation—Work Activity—Widower | 576.4 | None |
Miscellaneous | ||
| DWB Cessation—Work Activity—Surviving Divorced Wife | 576.5 | None |
| DIB or Freeze—Determination Concerns Only Disability Application | 544(A) | None |
| Favorable Disability Determination by Veterans Administration—General | 550 | None |
| P&T Pension Award by Veterans Administration | 551 | None |
| Disability Benefits by Other Than Veterans Administration | 552 | None |
| Partial Allowance in Freeze Cases | 553 | 2 |
| Conclusion of Disability by Attending Physician | 554 | None |
| DIB—Explanation of Claimant's Rights After Cessation | 555 | None |
F. Reconsideration and Hearing Standard Paragraphs
| Paragraph | Fill-ins | |
|---|---|---|
| Previous Action Revised Upon Reconsideration Not Primarily Due to Additional Evidence | 136(A) | None |
| Previous Action Revised Upon Reconsideration—Primarily Due to Additional Evidence | 136(C) | None |
| Previous Action Revised Upon Reconsideration—(For Residents Other Than U.S., Guam, American Samoa, Philippines, Canada, Mexico, Western Samoa and British Virgin Islands) | 136(D)F | None |
| Previous Action Revised Upon Reconsideration—After Implied Request (For Residents Other Than U.S., Guam, American Samoa, Philippines, Canada, Mexico, Western Samoa and British Virgin Islands) | 136(E)F | None |
| Program Service Center Reconsiders Case Remanded Prior to a Hearing | 137 | None |
| Hearing Paragraph for Reconsidered Disability Cases | 140 | None |
| Hearing Paragraph Used in Reconsideration Notice Where Claim is Denied on the Basis of Res Judicata | 140(A) | None |
| Reconsideration Paragraph - Disability Ceases - Payments Continue | 142 | None |
| Reconsideration Paragraph - Disability Ceases - Payments Terminate | 143 | 1 |
| Appeals Paragraph - Disability Ceases - Payments Continue | 149 | None |
| Appeals Paragraph - Disability Ceases - Payments Terminate | 150 | 1 |
| Title II Medical Cessation Appeals Language - Advance Notice Required - SSI Payments Being Made | 305 | None |
| Expedited Appeals Process | 941 | None |