Request for Reconsideration

ICR 202412-0960-001

OMB: 0960-0622

Federal Form Document

Forms and Documents

Document Name	Status
Form SSA-561-U2 Request for Reconsideration--Paper and MCS/SSI Claims System Form and Instruction	Modified
Addendum -0960-0622.docx Supplementary Document	2025-03-14
Supporting Statement - 0622 (final).docx Supporting Statement A	2025-03-19

IC Document Collections

IC ID	Document Title	Status
43709	Request for Reconsideration--Paper and MCS/SSI Claims System Form and Instruction	Modified
272181	Disability Determination Ready Claim (DDRC) Certification Statement (for DDRC Pilot) Other-Certification Statement	Modified
180746	Request for Reconsideration--Internet version (i561) Other-Current iAppeals Screens	Modified