Claimant's Recent Medical Treatment

OMB 0960-0292

OMB 0960-0292

When DDSs deny a claim at the reconsideration level, the claimant has a right to request a hearing before an administrative law judge (ALJ). For the hearing, SSA asks the claimant to complete and return the HA-4631 if the claimant’s file does not reflect a current, complete medical history as the claimant proceeds through the appeals process. ALJs must obtain the information to update and complete the record and to verify the accuracy of the information. Through this process, ALJs can ascertain whether the claimant’s situation changed. The ALJs and hearing office staff use the response to make arrangements for consultative examination(s) and the attendance of any expert witnesses, if appropriate. During the hearing, the ALJ offers any completed questionnaires as exhibits and may use them to: (1) Refresh the claimant’s memory, and (2) shape their questions. The respondents are claimants requesting hearings on entitlement to Old Age Survivors and Disability Insurance benefits or SSI payments.

The latest form for Claimant's Recent Medical Treatment expires 2021-07-31 and can be found here.

All Historical Document Collections
Revision of a currently approved collection 2021-06-30
Approved without change
Revision of a currently approved collection 2018-04-10
Approved without change
Revision of a currently approved collection 2014-12-09
Approved without change
Revision of a currently approved collection 2012-03-26
Approved without change
Revision of a currently approved collection 2009-04-30
Approved without change
Extension without change of a currently approved collection 2006-04-13
Approved without change
No material or nonsubstantive change to a currently approved collection 2004-09-29
Approved without change
Extension without change of a currently approved collection 2003-03-24
Approved without change
Extension without change of a currently approved collection 2000-01-10
Approved without change
No material or nonsubstantive change to a currently approved collection 1999-09-23
Approved without change
No material or nonsubstantive change to a currently approved collection 1998-09-30
Approved without change
Reinstatement without change of a previously approved collection 1996-12-09
Approved without change
Revision of a currently approved collection 1993-05-10
Approved without change
Revision of a currently approved collection 1990-04-26
Approved with change
No material or nonsubstantive change to a currently approved collection 1989-08-25
Approved without change
Revision of a currently approved collection 1987-05-05
Approved with change
No material or nonsubstantive change to a currently approved collection 1985-11-01
Approved without change
Revision of a currently approved collection 1984-04-12
Approved without change
New collection (Request for a new OMB Control Number) 1982-03-31

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