Justification for the Non-Substantive Changes - 0960-0347 (Removal of Signature Requirement)

Justification for Non-Substantive Changes for Form SSA-765

Response to Notice of Revised Determination

20 CFR 404.913-404.914; 404.992(b); 416.1413-416.1414; and 416.1492(d)

OMB No. 0960-0347

Background

The Social Security Administration (SSA) uses Form SSA-765 to schedule a hearing if requested, ensure an interpreter is present if required, and collect additional information or evidence for SSA to consider prior to the issuance of a revised reconsideration. Currently, the paper and PDF versions of this form includes a signature requirement.

SSA recently reassessed the need for the respondent’s signature on this form and determined that we no longer require it. Therefore, we are removing the signature requirement from this form.

Revision to the Information Collection

• Change #1: SSA is removing the signature requirement from Form SSA-765.

Justification #1: We reassessed the need for a wet signature on this form and determined we no longer require it. Therefore, we will no longer ask respondents to sign this form prior to submitting it to SSA.

• Change #2: SSA is removing the witness signature and address blocks

Justification #2: We are removing because SSA only required the witness signature and address information when the respondent signed Form SSA-765.

We will implement these revisions upon OMB approval.

This action will not affect the public reporting burden.