Justification for the Non-Substantive Changes to 0960-0269

Justification for Non-Substantive Changes for i501

Request for Hearing by Administrative Law Judge

20 CFR 404.929, 404.933, 416.1429, 416.1433, 42 CFR 405.722 and 20 CFR 418.1350

OMB No. 0960-0269

Background

SSA conducted an American Customer Satisfaction Index (ACSI) Insight Review Survey. The survey revealed that respondents found certain introductory and instructions screens within iAppeals confusing and redundant. To resolve this issue, we made some language updates that reduce and clarify instructions and create a central location for navigational and informational instructions. The updates do not affect the current paper information collection instruments associated with iAppeals, in that respondents will not have to provide any additional information in order to complete an appeal request through iAppeals.

Description of iAppeals

iAppeals is an internet application available on Social Security’s official website. It allows respondents to request a reconsideration or hearing on a title II or title XVI medically denied claim. Respondents complete an appeal request by completing and submitting the i561 (Request for Reconsideration) or i501 (Request for Hearing by Administrative Law Judge) as appropriate, and completing the i3341 (Disability Report Appeal).

Justification for the Changes

Changes to the iAppeals application are listed in the below tables.

Deleted iAppeals – i501 Screens
Screen Number	Screen Name
ap006hr	About the Request for Hearing by Administrative Law Judge

iAppeals i501 Screen - Updates
Screen Number	Screen Name	Change	Justification
app001	Welcome	Streamlined language – see page 1 of the current screen package and page 4 of the new screen package	The streamlined language and centralized location for instructions make it easier for respondents to understand and access the instructions
app004	Should you use this Internet Appeal Process?	See page 3 of current screen package and page 5 of new screen package New screen name: Can you use this online disability appeal? Renamed “Internet Appeal” heading to “Disability Appeal”	The language is more personal and user friendly
app005	About your appeal	See page 4 of current screen package and page 6 of new screen package New screen name: Claimant Information Renamed “Internet Appeal” heading to “Disability Appeal”	The updated language better describes the information that is being requested
app08hr	Request for Hearing	See page 5 of current screen package and page 9 of new screen package Renamed “Internet Appeal” heading to “Disability Appeal” Renamed “Continue” button “Next” Deleted “Previous” button Links added – Paper Work Reduction Act and Privacy Act Statement	The language update gives respondents a better description of the button’s purpose The Paper Work Reduction Act and Privacy Act Statement is linked to the actual collection instrument which makes it more convenient for users
ap010hr	Submit your request for hearing (1st party)	See page 8 of current screen package and page 13 of new screen package Renamed “Internet Appeal” heading to “Disability Appeal” Renamed “Send” button “Submit”	The language update gives respondents a better description of the button’s purpose
ap010hr	Submit your request for hearing (3rd party)	See page 8 of current screen package and page 14 of new screen package Renamed “Internet Appeal” heading to “Disability Appeal” Renamed “Send” button to “Submit”	The language update gives respondents a better description of the button’s purpose
ap011hr	Receipt for Hearing (1st party)	Renamed “Internet Appeal” heading to “Disability Appeal” Added “Your reentry number is:” box Added “Sign Off(finish later)” button Renamed “Start Part 2” button to Next Screen language was updated and adjusted to reflect the changes on the screen – see page 10 of the current screen package and page 17 of the new screen package	The language updates are user friendly and encourage, but do not force respondents to complete the i3441.
ap011hr	Receipt for Hearing (3rd party)	Renamed “Internet Appeal” heading to “Disability Appeal” Added “Your reentry number is:” box Added “Sign Off(finish later)” button Renamed “Start Part 2” button to Next Screen language was updated and adjusted to reflect the changes on the screen – see page 10 of the current screen package and page 18 of the new screen package	The language updates are user friendly and encourage, but do not force respondents to complete the i3441.

Revised Burden Information

The language updates that included streamlining language and deleting pages from the application a significant decrease in the number of burden hour increase associated with completing the i501.

Form	Number of Respondents	Response Time	Number of Burden Hours
i501 - Request for Hearing by Administrative Law Judge	635,996	5	53,000

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