Suspension of New Claims to the Federal Reviewing Official Review Level, 2411-2416 [E8-148]
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Rules and Regulations
Federal Register
Vol. 73, No. 10
Tuesday, January 15, 2008
This section of the FEDERAL REGISTER
contains regulatory documents having general
applicability and legal effect, most of which
are keyed to and codified in the Code of
Federal Regulations, which is published under
50 titles pursuant to 44 U.S.C. 1510.
The Code of Federal Regulations is sold by
the Superintendent of Documents. Prices of
new books are listed in the first FEDERAL
REGISTER issue of each week.
SOCIAL SECURITY ADMINISTRATION
20 CFR Parts 404, 405 and 416
[Docket No. SSA–2007–0045]
RIN 0960–AG53
Suspension of New Claims to the
Federal Reviewing Official Review
Level
Social Security Administration.
Final rule.
AGENCY:
ACTION:
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SUMMARY: We are modifying our
disability administrative adjudication
processes to suspend new claims to the
Federal reviewing official (FedRO) level,
now operating in the Boston region.
Claims already transferred to the Office
of the Federal Reviewing Official
(OFedRO) for FedRO review will
continue to be processed by the
OFedRO and a related component of the
disability determination process, the
Medical and Vocational Expert System
(MVES), commonly known as the Office
of Medical and Vocational Expertise
(OMVE). We are making these changes
to ensure that we continually improve
our disability adjudication process.
DATES: This final rule is effective on
March 15, 2008.
FOR FURTHER INFORMATION CONTACT:
Dean S. Landis, Social Security
Administration, 6401 Security
Boulevard, Baltimore, MD 21235–6401,
(410) 965–0520 for information about
this notice. For information on
eligibility or filing for benefits, call our
national toll-free number, 1–800–772–
1213 or TTY 1–800–325–0778, or visit
our Internet site, Social Security Online,
at https://www.socialsecurity.gov.
SUPPLEMENTARY INFORMATION:
Electronic Version
The electronic file of this document is
available on the date of publication in
the Federal Register at https://
www.gpoaccess.gov/fr/.
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Introduction
We are dedicated to providing highquality service to the American public.
In March 2006, we announced changes
to our administrative review process for
initial disability claims. We explained
that the changes were expected to
improve disability service. Our
commitment to continuous
improvement in the way we process
disability claims did not end with the
publication of those rules as we
continually explore ways to improve
service to some of the most vulnerable
in our society. We face, now and in the
foreseeable future, significant challenges
to our ability to provide the level of
service that disability benefit claimants
deserve because of the increased
complexity of and growth in claims for
those benefits. Consequently, we are
making modifications to our
administrative review process that will
further help us evaluate changes put in
place in March 2006 and help us
provide accurate and timely service to
claimants for Social Security disability
benefits and supplemental security
income payments based on disability or
blindness.
The importance of these disability
benefits to the lives and subsistence of
many Americans cannot be
underestimated. Nearly 15 million
disabled Social Security beneficiaries
and supplemental security income
recipients receive over $10 billion in
Federal monthly payments. The
adjudication of disability claims
requires evaluating complex medical
and vocational evidence.
The number of claims and requests for
hearings that we receive has continued
to expand. In 2004–2006, we received
an annual average of 2.6 million
disability claims that required decisions
based on medical evidence, the most
time- and labor-intensive basis for
deciding such claims. Along with the
large number of claims, there has been
a concomitant increase in the number of
hearing requests. Our hearing offices
have received an average of over
564,000 titles II and XVI disability
hearing requests each year from 2002
through 2006, a significant increase
from the annual average of almost
472,000 hearing requests in 1997–2001.
As these figures show, over the 5-year
period from 2002 through 2006, we
received each year over 90,000 more
requests for titles II and XVI hearings
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than we annually received during the
period from 1997 through 2001. The
vast number of disability claims now
filed each year, as well as other factors
such as the expected increase in
disability claims as the baby boomers
move into their disability-prone years,
probable limitations on our resources to
process these claims, and the projected
impending increase in filings for
retirement and survivor benefits as baby
boomers retire, will continue to place an
even greater strain on our adjudicatory
system.
We expected that the spring 2006
changes to the administrative review
process for initial disability claims
would ‘‘improve the accuracy,
consistency, and timeliness of decisionmaking throughout the disability
determination process.’’ 71 FR 16424
(March 31, 2006). We planned a gradual
roll-out of the changes so that we could
determine their effect on the disability
process overall. As we explained then,
‘‘[g]radual implementation will allow us
to monitor the effects that our changes
are having on the entire disability
determination process. . . . We will
carefully monitor the implementation
process in the Boston region and
quickly address any problems that may
arise.’’ 71 FR at 16440–41. Based on
initial reviews of the quick disability
determination (QDD) and FedRO
elements of that process, and mindful of
the workload challenges that we now
face, especially at the hearing level, we
need to modify some of the changes
made last spring.
As we explain in our recently
published final rule on the QDD
process, 72 FR 51173 (September 6,
2007), we are extending the QDD
process to all of the State disability
determination services. In the current
rule, we are suspending new claims
going through the OFedRO and the
MVES, organizationally known as the
OMVE. However, claims already
transferred to the OFedRO for FedRO
review will continue through the
OFedRO and MVES so we can continue
to evaluate their effectiveness. These
changes are based on our commitment
to outstanding service and to
continuously improving our service as
we realign our resources to ensure that
we are capable of processing the current
and anticipated number of disability
claims and reducing the number of
pending hearings.
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Suspending the OFedRO and MVES/
OMVE Allows Reallocation of
Resources to the Backlog at the
Hearings Level
In the March 2006 final rule, we
replaced the State agency
reconsideration level with a Federal
adjudicative level, called the FedRO.
Attorneys staff the FedRO positions, and
they, along with the managerial,
support, and administrative staff, make
up the OFedRO. The OFedRO uses the
MVES/OMVE to develop the medical
and vocational evidence in the claims.
The goal of the OFedRO and OMVE is
to ensure more accurate and consistent
decision-making earlier in the process.
We are continuing to evaluate the effect
of these new components on our
program and administrative functions.
Our experience over the last year in the
Boston region demonstrates that the
administrative costs associated with the
OFedRO and its use of the MVES/OMVE
to develop medical and vocational
evidence is greater over the foreseeable
future than originally anticipated. We
do not yet have sufficient results to fully
evaluate the potential improvements in
program efficacy that are the goals of the
OFedRO and OMVE. Therefore, we are
suspending new claims going through
the OFedRO and OMVE, so that we can
reallocate resources to reduce the
backlog at the hearing level, while we
evaluate the OFedRO and OMVE
through the processing of claims already
received. As part of this review, we will
evaluate the merits of the FedRO
process separately from the OMVE
process and consider whether
alternative approaches to the OMVE are
warranted or should be tested. Once this
evaluation is completed and alternative
approaches analyzed, we will make a
decision whether to reinstate the
processing of new claims at the OFedRO
or to pursue an alternative approach to
improving the disability determination
process.
We are amending part 405 with
provisions that will suspend new claims
to the OFedRO and MVES/OMVE. This
change will allow us to continue to
evaluate the OFedRO and OMVE
through the processing of claims already
received. We expect to have
approximately 20,000 cases pending
FedRO review when this rule becomes
effective. We will complete the
processing of those pending cases, but
will not transfer to the OFedRO any
more cases originally filed under the
new process in the Boston region that
otherwise would have been slated for
FedRO review. Instead, if cases are at
the initial level in the Boston region or
not transferred to the OFedRO on the
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effective date of this rule, those cases
will be assigned to State agencies for
reconsidered determinations or to
administrative law judges for hearing,
whichever is applicable in that
particular New England State. In other
words, States in the Boston region,
where the OFedRO and MVES/OMVE
are currently functioning, will return to
the same process they were following
before August 2006, whether that
process was reconsideration under 20
CFR 404.907 and 416.1407 or the testing
procedures under 20 CFR 404.906 and
416.1406.
Public Comments
In the notice of proposed rulemaking
we published at 72 FR 45701 (August
15, 2007), we provided the public with
a 30-day period in which to comment
on the proposed suspension of new
claims to the OFedRO and MVES/
OMVE. That comment period ended on
September 14, 2007. We received timely
comments from 10 individuals and
organizations. We carefully considered
all the comments. Because some of the
comments were lengthy, we have
summarized their content. Other
comments were received that did not
relate to the suspension of new claims
to the OFedRO and MVES/OMVE. We
have provided responses to each
significant issue raised by commenters
that was within the scope of this rule.
In the notice of proposed rulemaking
published on August 15, 2007, we also
provided the public with a 90-day
period in which to comment on using
the MVES/OMVE in a more limited role
to develop and manage a national
registry of medical, psychological, and
vocational experts to assist disability
adjudicators in developing and/or
clarifying information within the record.
That comment period remains open
through November 13, 2007. We will
not respond to comments on this more
limited role for the MVES/OMVE until
such time as we may publish a notice
of proposed rulemaking setting out more
detailed plans for such a registry.
Comment: All but one of the
commenters specifically expressed
support for the suspension of new
claims to the FedRO and MVES/OMVE.
Several of these commenters discussed
concerns over the processing time for
claims and the claimant’s or the
representative’s ability to contact the
FedRO. One commenter also discussed
concerns over FedRO case development
and the quality of FedRO decisions.
Response: The primary reason for the
processing time and service issues
raised in the comments is the staffing
levels of the OFedRO and MVES/OMVE.
The staffing levels for these
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organizations have been approximately
50% of the levels we believed would be
needed to handle the Boston region
workload. With the reduced staffing at
the MVES/OMVE, OFedRO has
experienced delays in getting required
medical evidence, consultative exams,
and medical expert input. Budget
constraints precluded us from hiring a
full staff. When we published the March
2006 final rule, we expected the changes
it implemented to be budget neutral.
However, as we implemented the
changes, we found that the cost to the
agency was much greater than expected.
The agency does not have the resources
to both fully staff the new OFedRO and
MVES/OMVE and also resolve the
growing disability hearing backlog.
Accordingly, we staffed the OFedRO
and MVES/OMVE to the greatest extent
possible while also focusing our scarce
resources on the backlog of disability
hearings.
With respect to case development and
quality of decisions, our Office of
Quality Performance (OQP) evaluated
100% of all FedRO decisions through
about April 2007, and it continues to
evaluate a statistically valid sample of
FedRO decisions after that date. This
evaluation reviews both the manner in
which the case was developed and the
decision itself. OQP’s cumulative
agreement rate with OFedRO has been
97%, which is significantly better than
its overall agreement rate with State
agency reconsidered determinations in
the Boston region.
We will consider these factors as we
evaluate the OFedRO and MVES/OMVE
through the processing of claims already
transferred to the OFedRO.
Comment: Several commenters
expressed concern over the continued
use of the FedRO and MVES/OMVE for
claims already assigned to FedRO on the
effective date of this rule. Their concern
also related to the processing time for
claims, the claimant’s or
representative’s ability to contact
individual FedROs, and case
development. One commenter suggested
placing a 90-day time limit for FedRO
review once this final rule becomes
effective. This commenter suggested
that any cases still pending FedRO
review after 90 days be redirected to the
State agency for reconsideration.
Another commenter indicated support
for the outright elimination of the
FedRO and return of pending cases to
the State agencies.
Response: We are not adopting the
suggestions for returning cases now
pending at OFedRO to the State
agencies. We believe continued FedRO
review for pending cases is appropriate.
As we explained in the notice of
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proposed rulemaking, we do not yet
have sufficient results to fully evaluate
the potential improvements in program
efficacy that are the goals of the
OFedRO and MVES/OMVE. By
including the roughly 20,000 cases we
expect to have pending FedRO review
when this final rule becomes effective,
we significantly increase the pool of
cases available to assist in such
evaluation.
Additionally, it will be more efficient
to keep the pending cases with OFedRO
than to transfer them to the State
agencies. It would take considerable
time for the State agency examiners to
familiarize themselves with the cases,
and the actual transfer would present
significant challenges because the
OFedRO processing system would have
to communicate with six different State
agency processing systems.
With respect to the processing time,
we expect that once requests for FedRO
review are suspended, OFedRO will be
able to process the pending workload
relatively quickly. Once the flow of
cases is suspended, OFedRO will no
longer need to review, develop, and
monitor new cases. Accordingly,
FedROs will have more time to devote
to finalizing and writing decisions for
the pending cases. Additionally, the
FedROs are increasingly attaining the
experience needed to process cases
more quickly.
With respect to contacting individual
FedROs, we have recently taken steps to
address this issue. We now have
additional staff assisting in handling
telephone calls to OFedRO. In the event
that a call goes to voice mail, updated
voice mail messages ask callers to leave
specific information that will facilitate
the FedRO’s ability to contact the caller.
We also recently began sending compact
disks (CDs) of the electronic folder with
the copy of the acknowledgement letter
to representatives in the Boston region
who handle large numbers of claimants.
This improvement eliminates the need
for the representative to call to request
the CD of the electronic folder. Once the
flow of cases is suspended, support staff
will no longer need to send
acknowledgement letters and initial
requests for evidence from the MVES/
OMVE. Accordingly, we expect support
staff to be able to devote more time to
handling telephone calls.
In light of the comments, we are
making one substantive change to
proposed § 405.240 that will reduce
slightly the number of cases that will
continue to be processed through the
OFedRO and MVES/OMVE. Proposed
§ 405.240 used the date an individual
files a request for FedRO review to
determine whether the claim would
receive FedRO review. We are amending
§ 405.240 to use instead the date that we
transfer such a request to the OFedRO.
Some requests for FedRO review are
transferred to the OFedRO on the same
day that the request is filed, but others
are not. Currently, the average time to
transfer claims to OFedRO after a
request is filed is over 14 days. Using
the date we transfer a request to
OFedRO will reduce somewhat the
number of pending cases that will
receive FedRO review but still provide
us a significant pool of cases to help us
evaluate the OFedRO and MVES/OMVE.
Comment: Several commenters
supported careful evaluation of the
FedRO and MVES/OMVE through the
claims already received in conjunction
with considering alternatives. Two
commenters emphasized the importance
of evaluating the ability of the OFedRO
or its alternatives to achieve the
underlying goal of getting the right
decision earlier in the disability process.
Response: We are dedicated to
providing high-quality service to the
American public, and we are committed
to continuously improving the way we
process disability claims. Our goal is to
improve the accuracy, consistency, and
timeliness of decision-making
throughout the disability determination
process. We will keep this goal at the
forefront of our efforts as we evaluate
the OFedRO and MVES/OMVE and
consider any possible alternatives. We
plan to continue evaluating case
development, the effect of the MVES/
OMVE involvement on the FedRO
decision, and the FedRO decision itself.
Comment: One commenter addressed
the clarity of the proposed rule by
suggesting that we include a Definitions
section in this rule.
Response: We have not adopted this
suggestion because part 405 of our rules,
which this final rule amends, already
contains a Definitions section.
In addition to the changes discussed
above, we are making the following
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clarifying changes. We are making
changes to §§ 405.10(d) and 405.240(d)
to clarify what types of notices we
intend to publish if we take further
action pursuant to those provisions. We
are also making changes to the appendix
to subpart A of part 405. We are revising
the language to clarify that if a claimant
files a disability claim in one State but
then moves to another State,
adjudicators at subsequent levels of
review will apply the regulations
applicable at the time of such
subsequent review in the State where
the claimant filed the disability claim.
We have removed the examples because
we believe they could result in
misunderstanding. We are making a
change to § 405.240(a) to specify the
date on which this final rule is effective
and a change to § 405.240(b) to correct
a typographical error. Finally, we are
making a change to § 405.240(b), and
conforming changes to subpart J of part
404, subpart D of part 405, and subpart
N of part 416 of our rules, to clarify that
we will follow the procedures in part
405 of our rules to process hearings
before an administrative law judge and
any subsequent administrative review in
claims affected by suspension of the
FedRO level.
Regulatory Procedures
Executive Order 12866, as Amended,
and the Congressional Review Act
We have consulted with the Office of
Management and Budget (OMB) and
determined that this final rule meets the
criteria for an economically significant
regulatory action under Executive Order
12866, as amended, and thus meets the
criteria for a major rule under the
Congressional Review Act. Accordingly,
this final rule was reviewed by OMB,
and it will be effective 60 days after
publication. We have also determined
that these final rules meet the plain
language requirement of Executive
Order 12866, as amended.
The Office of the Chief Actuary
(OCACT) estimates that this rule will
result in program savings of roughly
$1.0 billion in OASDI benefit payments
and cost of $0.1 billion in Federal SSI
payments over the next 10 years, as
shown below (in millions of dollars):
TABLE 1.—ESTIMATED EFFECT ON OASDI AND FEDERAL SSI BENEFIT PAYMENTS OF A REGULATION SUSPENDING NEW
CLAIMS TO THE FEDERAL REVIEWING OFFICIAL AND MODIFYING THE ROLE OF THE MEDICAL AND VOCATIONAL EXPERT
SYSTEM, FISCAL YEARS 2008–17
[In millions]
Fiscal year
OASDI
2008 .............................................................................................................................................
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¥$14
15JAR1
SSI
Total
¥$3
¥$18
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Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
TABLE 1.—ESTIMATED EFFECT ON OASDI AND FEDERAL SSI BENEFIT PAYMENTS OF A REGULATION SUSPENDING NEW
CLAIMS TO THE FEDERAL REVIEWING OFFICIAL AND MODIFYING THE ROLE OF THE MEDICAL AND VOCATIONAL EXPERT
SYSTEM, FISCAL YEARS 2008–17—Continued
[In millions]
Fiscal year
OASDI
2009 .............................................................................................................................................
2010 .............................................................................................................................................
2011 .............................................................................................................................................
2012 .............................................................................................................................................
2013 .............................................................................................................................................
2014 .............................................................................................................................................
2015 .............................................................................................................................................
2016 .............................................................................................................................................
2017 .............................................................................................................................................
Totals:
2008–12 ................................................................................................................................
2008–17 ................................................................................................................................
SSI
Total
¥42
¥51
¥57
¥45
¥53
¥122
¥192
¥248
¥219
¥9
¥8
¥15
¥6
9
22
29
40
82
¥51
¥60
¥72
¥51
¥44
¥100
¥163
¥208
¥137
¥209
¥1,042
¥41
140
¥251
¥902
Notes:
1. The estimates are based on the assumptions underlying the President’s FY 2008 Budget.
2. Federal SSI payments due on October 1st in fiscal years 2012, 2017 and 2018 are included with payments for the prior fiscal year.
3. Totals may not equal sum of components due to rounding.
Table 1 above presents the estimated
short-range effects on OASDI benefit
payments and Federal SSI payments
that will result from implementation of
this final rule, measured relative to the
baseline used for the President’s Fiscal
Year 2008 Budget and assuming that the
final rule will become effective for
initial determinations made on or after
April 1, 2008. The FY 2008 Budget
assumed that DSI would be gradually
implemented at the pace of one region
per year and be fully implemented for
new claims in all regions by the
beginning of FY 2016. For the 10 States
where the Prototype determination
process has been or is being tested, the
effect of this final rule will be to retain
or restore the Prototype process so that
the first level of appeal of an initial
disability decision will be to an
administrative law judge.
As required by OMB Circular A–4
(available at https://
www.whitehouse.gov/omb/circulars/
a004/a0-4.pdf), in Table 2, we have
prepared an accounting statement
showing the annualized economic
impact of suspending new claims to the
FedRO level. All estimated impacts are
classified as transfers.
TABLE 2.—ACCOUNTING STATEMENT: ESTIMATED ECONOMIC IMPACT OF SUSPENDING NEW CLAIMS TO THE FEDRO LEVEL
FROM 2008–2017 IN 2007 DOLLARS
Category
Transfers
Annualized Monetized Transfers ..............................................................
$70.4 million (7% discount rate).
$74.3 million (3% discount rate).
From SSA beneficiaries to the Social Security trust fund and the general fund.
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From Whom To Whom? ...........................................................................
Suspending new claims going through
the FedRO and OMVE will allow us to
reallocate resources to reduce the
backlog at the hearing level by holding
more hearings and making system
improvements to increase the efficiency
of our hearings process.
We will also continue to evaluate the
FedRO and OMVE through the
processing of claims already received.
This evaluation will include an
assessment of DSI, as the pilot is
currently implemented in the Boston
region, with existing claims. In the
analysis we will analyze DSI’s impact
on the timeliness of disability
determinations, on overall program
costs, as well as its impact on the
administrative costs required to
implement this new process. Once this
evaluation is complete and alternative
approaches analyzed, we will make a
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decision whether to reinstate the
processing of new claims into the
FedRO or pursue an alternative
approach to improving the disability
determination process.
Regulatory Flexibility Act
We certify that this rule will not have
a significant economic impact on a
substantial number of small entities as
it affects only States and individuals.
Therefore, a regulatory flexibility
analysis as provided in the Regulatory
Flexibility Act, as amended, is not
required.
Paperwork Reduction Act
These rules impose no new reporting
or recordkeeping requirements requiring
OMB clearance.
(Catalog of Federal Domestic Assistance
Program Nos. 96.001, Social Security—
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Disability Insurance; 96.002, Social
Security—Retirement Insurance; 96.004,
Social Security—Survivors Insurance;
96.006, Supplemental Security Income.)
List of Subjects
20 CFR Part 404
Administrative practice and
procedure; Blind; Disability benefits;
Old-Age, Survivors, and Disability
Insurance; Reporting and recordkeeping
requirements; Social Security.
20 CFR Part 405
Administrative practice and
procedure; Blind, Disability benefits;
Old-Age, Survivors, and Disability
Insurance; Public assistance programs,
Reporting and recordkeeping
requirements; Social Security;
Supplemental Security Income (SSI).
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20 CFR Part 416
PART 405—ADMINISTRATIVE REVIEW
PROCESS FOR ADJUDICATING
INITIAL DISABILITY CLAIMS
Administrative practice and
procedure; Aged, Blind, Disability
benefits, Public Assistance programs;
Reporting and recordkeeping
requirements; Supplemental Security
Income (SSI).
4. The authority citation for part 405
continues to read as follows:
I
Authority: Secs. 201(j), 205(a)–(b), (d)–(h),
and (s), 221, 223(a)–(b), 702(a)(5), 1601, 1602,
1631, and 1633 of the Social Security Act (42
U.S.C. 401(j), 405(a)–(b), (d)–(h), and (s), 421,
423(a)–(b), 902(a)(5), 1381, 1381a, 1383, and
1383b).
Dated: October 31, 2007.
Michael J. Astrue,
Commissioner of Social Security.
For the reasons set out in the
preamble, we are amending subpart J of
part 404, subparts A, C and D of part
405, and subpart N of part 416 as set
forth below:
I
PART 404—FEDERAL OLD-AGE,
SURVIVORS AND DISABILITY
INSURANCE (1950– )
1. The authority citation for subpart J
of part 404 continues to read as follows:
I
Authority: Secs. 201(j), 204(f), 205(a), (b),
(d)–(h), and (j), 221, 223(i), 225, and 702(a)(5)
of the Social Security Act (42 U.S.C. 401(j),
404(f), 405(a), (b), (d)–(h), and (j), 421, 423(i),
425, and 902(a)(5)); sec. 5, Pub. L. 97–455, 96
Stat. 2500 (42 U.S.C. 405 note); secs. 5, 6(c)–
(e), and 15, Pub. L. 98–460, 98 Stat. 1802 (42
U.S.C. 421 note); sec. 202, Pub. L. 108–203,
118 Stat. 509 (42 U.S.C. 902 note).
2. Amend § 404.906 by adding a
fourth sentence to paragraph (b)(4) to
read as follows:
I
§ 404.906 Testing modifications to the
disability determination procedures.
*
*
*
*
*
(b) * * *
(4) * * * If you requested review by
a Federal reviewing official under part
405 of this chapter and we considered
that request a request for review by an
administrative law judge as a result of
§ 405.240(b) of this chapter, we will
apply the procedures contained in
subpart D of part 405 of this chapter.
3. Amend § 404.930 by adding
paragraph (c) to read as follows:
I
§ 404.930 Availability of a hearing before
an administrative law judge.
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*
*
*
*
(c) If you received a reconsidered
determination instead of a decision by
a Federal reviewing official as a result
of § 405.240 of this chapter, we will
apply the procedures contained in
subpart D of part 405 of this chapter to
your request for a hearing before an
administrative law judge.
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5. Amend § 405.10 by adding
paragraph (d) to read as follows:
I
§ 405.10 Medical and Vocational Expert
System.
*
Subpart J—[Amended]
*
Subpart A—[Amended]
*
*
*
*
(d) This section will no longer be
effective on the same date as described
in § 405.240(c) of this part unless the
Commissioner decides that the Medical
and Vocational Expert System should be
continued and extends the sunset date
as described in § 405.240(d) of this part
by publishing a notice of proposed
rulemaking and a final rule in the
Federal Register before that date.
I 6. Revise the appendix to subpart A of
part 405 to read as follows:
Appendix to Subpart A of Part 405—
Claims That Will Be Handled Under the
Procedures in This Part
(a) We will apply the procedures in this
part to disability claims (as defined in
§ 405.5) filed in Maine, New Hampshire,
Vermont, Massachusetts, Rhode Island, or
Connecticut.
(b) If you move from one State to another
after your disability claim has been filed,
adjudicators at subsequent levels of review
will apply the regulations applicable at the
time of such subsequent review in the State
where you filed the disability claim.
Subpart C—[Amended]
I
7. Add § 405.240 to read as follows:
§ 405.240
Sunset of this Subpart.
(a) If you filed a request for review by
a Federal reviewing official and we
transferred your claim to the Office of
the Federal Reviewing Official on or
before March 17, 2008, the Federal
reviewing official will review and issue
a decision on your claim.
(b) If you have received an initial
determination under subpart B of this
part, we will process any request for
additional administrative review not
described in paragraph (a) of this
section as either a request for
reconsideration by the State agency or a
request for hearing before an
administrative law judge if your State
uses the testing procedures under
PO 00000
Frm 00005
Fmt 4700
Sfmt 4700
2415
§§ 404.906 and 416.1406 of this chapter.
In any hearing before an administrative
law judge on your claim, and in any
further review of your claim, we will
follow the procedures in this part.
(c) This subpart will no longer be
effective the day after a Federal
reviewing official issues a decision on
the last of the claims accepted for
review under paragraph (a) of this
section.
(d) If compelling evidence shows that
the Federal reviewing official process is
efficient, effective, and sustainable
given available Agency resources, the
Commissioner may reinstate the Federal
reviewing official process by publishing
a notice of proposed rulemaking and
final rule in the Federal Register.
Subpart D—[Amended]
8. Amend § 405.301 by revising the
first sentence of paragraph (a) and the
first sentence of paragraph (c) to read as
follows:
I
§ 405.301 Hearing before an administrative
law judge—general.
(a) This subpart explains what to do
if you are dissatisfied with a decision by
a Federal reviewing official, a
reconsidered determination you
received as a result of § 405.240 of this
part, or an initial determination subject
to a hearing by an administrative law
judge under the procedures in this part
as a result of § 404.906(b)(4) or
§ 416.1406(b)(4) of this chapter. * * *
(b) * * *
(c) You may examine the evidence
used in making the decision or
determination under review, submit
evidence, appear at the hearing, and
present and question witnesses. * * *
I 9. Revise § 405.305 to read as follows:
§ 405.305 Availability of a hearing before
an administrative law judge.
You may request a hearing before an
administrative law judge if you are
dissatisfied with the Federal reviewing
official’s decision on your disability
claim, the reconsidered determination
you received as a result of § 405.240 of
this part, or an initial determination
subject to a hearing by an administrative
law judge under the procedures in this
part as a result of § 404.906(b)(4) or
§ 416.1406(b)(4) of this chapter.
I 10. Amend § 405.310 by revising the
first sentence of paragraph (b) to read as
follows:
§ 405.310 How to request a hearing before
an administrative law judge.
*
*
*
*
*
(b) * * * An administrative law judge
will conduct a hearing if you request
one in writing no later than 60 days
E:\FR\FM\15JAR1.SGM
15JAR1
2416
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
after the date you receive notice of the
Federal reviewing official’s decision, the
reconsidered determination you
received as a result of § 405.240 of this
part, or the initial determination subject
to a hearing by an administrative law
judge under the procedures in this part
as a result of § 404.906(b)(4) or
§ 416.1406(b)(4) of this chapter (or
within the extended time period if we
extend the time as provided in
paragraph (d) of this section). * * *
*
*
*
*
*
PART 416—SUPPLEMENTAL
SECURITY INCOME FOR THE AGED,
BLIND, AND DISABLED
Subpart N—[Amended]
11. The authority citation for subpart
N of part 416 continues to read as
follows:
I
Authority: Secs. 702(a)(5), 1631, and 1633
of the Social Security Act (42 U.S.C.
902(a)(5), 1383, and 1383b); sec. 202, Pub. L.
108–203, 118 Stat. 509 (42 U.S.C. 902 note).
12. Amend § 416.1406 by adding a
fourth sentence to paragraph (b)(4) to
read as follows:
I
§ 416.1406 Testing modifications to the
disability determination procedures.
*
*
*
*
*
(b) * * *
(4) * * * If you requested review by
a Federal reviewing official under part
405 of this chapter and we considered
that request a request for review by an
administrative law judge as a result of
§ 405.240(b) of this chapter, we will
apply the procedures contained in
subpart D of part 405 of this chapter.
13. Amend § 416.1430 by adding
paragraph (c) to read as follows:
I
§ 416.1430 Availability of a hearing before
an administrative law judge.
*
*
*
*
*
(c) If you received a reconsidered
determination instead of a decision by
a Federal reviewing official as a result
of § 405.240 of this chapter, we will
apply the procedures contained in
subpart D of part 405 of this chapter to
your request for a hearing before an
administrative law judge.
yshivers on PROD1PC71 with RULES
[FR Doc. E8–148 Filed 1–14–08; 8:45 am]
BILLING CODE 4191–02–P
VerDate Aug<31>2005
14:07 Jan 14, 2008
Jkt 214001
DEPARTMENT OF THE TREASURY
Internal Revenue Service
26 CFR Part 1
[TD 9376]
RIN 1545–BD54
Guidance Under Section 1502;
Miscellaneous Operating Rules for
Successor Persons; Succession to
Items of the Liquidating Corporation
Internal Revenue Service (IRS),
Treasury.
ACTION: Final regulations.
AGENCY:
SUMMARY: This document contains final
regulations under section 1502 of the
Internal Revenue Code that provide
guidance regarding the manner in which
the items (including items described in
section 381(c) but excluding
intercompany items under § 1.1502–13)
of a liquidating corporation are
succeeded to and taken into account in
cases in which multiple members
acquire the assets of the liquidating
corporation in a complete liquidation to
which section 332 applies. These final
regulations affect corporations filing
consolidated returns.
DATES: Effective Date: These regulations
are effective January 15, 2008.
Applicability Date: For the date of
applicability, see § 1.1502–80(g)(7).
FOR FURTHER INFORMATION CONTACT:
Amber C. Vogel or Marie C. MilnesVasquez, (202) 622–7530 (not a toll-free
number).
SUPPLEMENTARY INFORMATION:
Background
On February 22, 2005, the IRS and
Treasury Department published in the
Federal Register (70 FR 8552) a notice
of proposed rulemaking (REG–131128–
04) under section 1502 proposing
guidance as to how multiple
consolidated group members
(distributee members) that acquire
assets in a liquidation to which section
332 applies succeed to and take into
account the items of the liquidating
corporation. The proposed regulations
apply single-entity principles and
allocate the items of the liquidating
corporation that could be used to offset
the income or tax liability of the group
or any member to each distributee
member to the extent that such items
would have been reflected in
investment adjustments to the stock of
the liquidating corporation owned by
such distributee member under the
principles of § 1.1502–32(c) if,
immediately before the liquidation, any
stock of the liquidating corporation
PO 00000
Frm 00006
Fmt 4700
Sfmt 4700
owned by nonmembers had been
redeemed, and then such items had
been taken into account.
The proposed regulations also provide
allocation rules for the credits and
earnings and profits of the liquidating
corporation. Under the proposed
regulations, each distributee member
succeeds to the credits of the liquidating
corporation to the extent that the items
of income, gain, loss, or deduction
attributable to the activities that gave
rise to the credit would have been
reflected in investment adjustments to
the stock of the liquidating corporation
owned by such distributee member
under the principles of § 1.1502–32(c) if,
immediately before the liquidation, any
stock of the liquidating corporation
owned by nonmembers had been
redeemed, and then such items had
been taken into account. The proposed
regulations provide similar rules for
allocating the liquidating corporation’s
earnings and profits to the distributee
members.
Under the proposed regulations, a
distributee member generally succeeds
to any other items of the liquidating
corporation if, immediately before the
liquidation, such distributee owns stock
in the liquidating corporation meeting
the requirements of section 1504(a)(2)
without regard to the application of
§ 1.1502–34. In contrast, a distributee
member that does not meet the
ownership requirements of section
1504(a)(2) without regard to the
application of § 1.1502–34 (a non-80percent distributee) succeeds to any
remaining items of the liquidating
corporation only to the extent that it
would have succeeded to those items if
it had purchased, in a taxable
transaction, the assets or businesses of
the liquidating corporation that it
received in the liquidation and had
assumed the liabilities that it assumed
in the liquidation.
In addition, the proposed regulations
also provide guidance regarding the
method for allocating the intercompany
items of a liquidating subsidiary in
cases in which multiple members
acquire the assets of a liquidating
subsidiary in a complete liquidation to
which section 332 applies. The IRS and
Treasury Department continue to study
those rules. Accordingly, that portion of
the notice of proposed rulemaking is
withdrawn, and the final regulations do
not apply to the intercompany items of
the liquidating corporation. For rules
applicable to the treatment of those
items, see § 1.1502–13(j)(2)(ii).
No public hearing was requested or
held. Written and electronic comments
responding to the notice of proposed
rulemaking were received. After
E:\FR\FM\15JAR1.SGM
15JAR1
Agencies
[Federal Register Volume 73, Number 10 (Tuesday, January 15, 2008)]
[Rules and Regulations]
[Pages 2411-2416]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-148]
========================================================================
Rules and Regulations
Federal Register
________________________________________________________________________
This section of the FEDERAL REGISTER contains regulatory documents
having general applicability and legal effect, most of which are keyed
to and codified in the Code of Federal Regulations, which is published
under 50 titles pursuant to 44 U.S.C. 1510.
The Code of Federal Regulations is sold by the Superintendent of Documents.
Prices of new books are listed in the first FEDERAL REGISTER issue of each
week.
========================================================================
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 /
Rules and Regulations
[[Page 2411]]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
20 CFR Parts 404, 405 and 416
[Docket No. SSA-2007-0045]
RIN 0960-AG53
Suspension of New Claims to the Federal Reviewing Official Review
Level
AGENCY: Social Security Administration.
ACTION: Final rule.
-----------------------------------------------------------------------
SUMMARY: We are modifying our disability administrative adjudication
processes to suspend new claims to the Federal reviewing official
(FedRO) level, now operating in the Boston region. Claims already
transferred to the Office of the Federal Reviewing Official (OFedRO)
for FedRO review will continue to be processed by the OFedRO and a
related component of the disability determination process, the Medical
and Vocational Expert System (MVES), commonly known as the Office of
Medical and Vocational Expertise (OMVE). We are making these changes to
ensure that we continually improve our disability adjudication process.
DATES: This final rule is effective on March 15, 2008.
FOR FURTHER INFORMATION CONTACT: Dean S. Landis, Social Security
Administration, 6401 Security Boulevard, Baltimore, MD 21235-6401,
(410) 965-0520 for information about this notice. For information on
eligibility or filing for benefits, call our national toll-free number,
1-800-772-1213 or TTY 1-800-325-0778, or visit our Internet site,
Social Security Online, at https://www.socialsecurity.gov.
SUPPLEMENTARY INFORMATION:
Electronic Version
The electronic file of this document is available on the date of
publication in the Federal Register at https://www.gpoaccess.gov/fr/
index.html.
Introduction
We are dedicated to providing high-quality service to the American
public. In March 2006, we announced changes to our administrative
review process for initial disability claims. We explained that the
changes were expected to improve disability service. Our commitment to
continuous improvement in the way we process disability claims did not
end with the publication of those rules as we continually explore ways
to improve service to some of the most vulnerable in our society. We
face, now and in the foreseeable future, significant challenges to our
ability to provide the level of service that disability benefit
claimants deserve because of the increased complexity of and growth in
claims for those benefits. Consequently, we are making modifications to
our administrative review process that will further help us evaluate
changes put in place in March 2006 and help us provide accurate and
timely service to claimants for Social Security disability benefits and
supplemental security income payments based on disability or blindness.
The importance of these disability benefits to the lives and
subsistence of many Americans cannot be underestimated. Nearly 15
million disabled Social Security beneficiaries and supplemental
security income recipients receive over $10 billion in Federal monthly
payments. The adjudication of disability claims requires evaluating
complex medical and vocational evidence.
The number of claims and requests for hearings that we receive has
continued to expand. In 2004-2006, we received an annual average of 2.6
million disability claims that required decisions based on medical
evidence, the most time- and labor-intensive basis for deciding such
claims. Along with the large number of claims, there has been a
concomitant increase in the number of hearing requests. Our hearing
offices have received an average of over 564,000 titles II and XVI
disability hearing requests each year from 2002 through 2006, a
significant increase from the annual average of almost 472,000 hearing
requests in 1997-2001. As these figures show, over the 5-year period
from 2002 through 2006, we received each year over 90,000 more requests
for titles II and XVI hearings than we annually received during the
period from 1997 through 2001. The vast number of disability claims now
filed each year, as well as other factors such as the expected increase
in disability claims as the baby boomers move into their disability-
prone years, probable limitations on our resources to process these
claims, and the projected impending increase in filings for retirement
and survivor benefits as baby boomers retire, will continue to place an
even greater strain on our adjudicatory system.
We expected that the spring 2006 changes to the administrative
review process for initial disability claims would ``improve the
accuracy, consistency, and timeliness of decision-making throughout the
disability determination process.'' 71 FR 16424 (March 31, 2006). We
planned a gradual roll-out of the changes so that we could determine
their effect on the disability process overall. As we explained then,
``[g]radual implementation will allow us to monitor the effects that
our changes are having on the entire disability determination process.
. . . We will carefully monitor the implementation process in the
Boston region and quickly address any problems that may arise.'' 71 FR
at 16440-41. Based on initial reviews of the quick disability
determination (QDD) and FedRO elements of that process, and mindful of
the workload challenges that we now face, especially at the hearing
level, we need to modify some of the changes made last spring.
As we explain in our recently published final rule on the QDD
process, 72 FR 51173 (September 6, 2007), we are extending the QDD
process to all of the State disability determination services. In the
current rule, we are suspending new claims going through the OFedRO and
the MVES, organizationally known as the OMVE. However, claims already
transferred to the OFedRO for FedRO review will continue through the
OFedRO and MVES so we can continue to evaluate their effectiveness.
These changes are based on our commitment to outstanding service and to
continuously improving our service as we realign our resources to
ensure that we are capable of processing the current and anticipated
number of disability claims and reducing the number of pending
hearings.
[[Page 2412]]
Suspending the OFedRO and MVES/OMVE Allows Reallocation of Resources to
the Backlog at the Hearings Level
In the March 2006 final rule, we replaced the State agency
reconsideration level with a Federal adjudicative level, called the
FedRO. Attorneys staff the FedRO positions, and they, along with the
managerial, support, and administrative staff, make up the OFedRO. The
OFedRO uses the MVES/OMVE to develop the medical and vocational
evidence in the claims. The goal of the OFedRO and OMVE is to ensure
more accurate and consistent decision-making earlier in the process. We
are continuing to evaluate the effect of these new components on our
program and administrative functions. Our experience over the last year
in the Boston region demonstrates that the administrative costs
associated with the OFedRO and its use of the MVES/OMVE to develop
medical and vocational evidence is greater over the foreseeable future
than originally anticipated. We do not yet have sufficient results to
fully evaluate the potential improvements in program efficacy that are
the goals of the OFedRO and OMVE. Therefore, we are suspending new
claims going through the OFedRO and OMVE, so that we can reallocate
resources to reduce the backlog at the hearing level, while we evaluate
the OFedRO and OMVE through the processing of claims already received.
As part of this review, we will evaluate the merits of the FedRO
process separately from the OMVE process and consider whether
alternative approaches to the OMVE are warranted or should be tested.
Once this evaluation is completed and alternative approaches analyzed,
we will make a decision whether to reinstate the processing of new
claims at the OFedRO or to pursue an alternative approach to improving
the disability determination process.
We are amending part 405 with provisions that will suspend new
claims to the OFedRO and MVES/OMVE. This change will allow us to
continue to evaluate the OFedRO and OMVE through the processing of
claims already received. We expect to have approximately 20,000 cases
pending FedRO review when this rule becomes effective. We will complete
the processing of those pending cases, but will not transfer to the
OFedRO any more cases originally filed under the new process in the
Boston region that otherwise would have been slated for FedRO review.
Instead, if cases are at the initial level in the Boston region or not
transferred to the OFedRO on the effective date of this rule, those
cases will be assigned to State agencies for reconsidered
determinations or to administrative law judges for hearing, whichever
is applicable in that particular New England State. In other words,
States in the Boston region, where the OFedRO and MVES/OMVE are
currently functioning, will return to the same process they were
following before August 2006, whether that process was reconsideration
under 20 CFR 404.907 and 416.1407 or the testing procedures under 20
CFR 404.906 and 416.1406.
Public Comments
In the notice of proposed rulemaking we published at 72 FR 45701
(August 15, 2007), we provided the public with a 30-day period in which
to comment on the proposed suspension of new claims to the OFedRO and
MVES/OMVE. That comment period ended on September 14, 2007. We received
timely comments from 10 individuals and organizations. We carefully
considered all the comments. Because some of the comments were lengthy,
we have summarized their content. Other comments were received that did
not relate to the suspension of new claims to the OFedRO and MVES/OMVE.
We have provided responses to each significant issue raised by
commenters that was within the scope of this rule.
In the notice of proposed rulemaking published on August 15, 2007,
we also provided the public with a 90-day period in which to comment on
using the MVES/OMVE in a more limited role to develop and manage a
national registry of medical, psychological, and vocational experts to
assist disability adjudicators in developing and/or clarifying
information within the record. That comment period remains open through
November 13, 2007. We will not respond to comments on this more limited
role for the MVES/OMVE until such time as we may publish a notice of
proposed rulemaking setting out more detailed plans for such a
registry.
Comment: All but one of the commenters specifically expressed
support for the suspension of new claims to the FedRO and MVES/OMVE.
Several of these commenters discussed concerns over the processing time
for claims and the claimant's or the representative's ability to
contact the FedRO. One commenter also discussed concerns over FedRO
case development and the quality of FedRO decisions.
Response: The primary reason for the processing time and service
issues raised in the comments is the staffing levels of the OFedRO and
MVES/OMVE. The staffing levels for these organizations have been
approximately 50% of the levels we believed would be needed to handle
the Boston region workload. With the reduced staffing at the MVES/OMVE,
OFedRO has experienced delays in getting required medical evidence,
consultative exams, and medical expert input. Budget constraints
precluded us from hiring a full staff. When we published the March 2006
final rule, we expected the changes it implemented to be budget
neutral. However, as we implemented the changes, we found that the cost
to the agency was much greater than expected. The agency does not have
the resources to both fully staff the new OFedRO and MVES/OMVE and also
resolve the growing disability hearing backlog. Accordingly, we staffed
the OFedRO and MVES/OMVE to the greatest extent possible while also
focusing our scarce resources on the backlog of disability hearings.
With respect to case development and quality of decisions, our
Office of Quality Performance (OQP) evaluated 100% of all FedRO
decisions through about April 2007, and it continues to evaluate a
statistically valid sample of FedRO decisions after that date. This
evaluation reviews both the manner in which the case was developed and
the decision itself. OQP's cumulative agreement rate with OFedRO has
been 97%, which is significantly better than its overall agreement rate
with State agency reconsidered determinations in the Boston region.
We will consider these factors as we evaluate the OFedRO and MVES/
OMVE through the processing of claims already transferred to the
OFedRO.
Comment: Several commenters expressed concern over the continued
use of the FedRO and MVES/OMVE for claims already assigned to FedRO on
the effective date of this rule. Their concern also related to the
processing time for claims, the claimant's or representative's ability
to contact individual FedROs, and case development. One commenter
suggested placing a 90-day time limit for FedRO review once this final
rule becomes effective. This commenter suggested that any cases still
pending FedRO review after 90 days be redirected to the State agency
for reconsideration. Another commenter indicated support for the
outright elimination of the FedRO and return of pending cases to the
State agencies.
Response: We are not adopting the suggestions for returning cases
now pending at OFedRO to the State agencies. We believe continued FedRO
review for pending cases is appropriate. As we explained in the notice
of
[[Page 2413]]
proposed rulemaking, we do not yet have sufficient results to fully
evaluate the potential improvements in program efficacy that are the
goals of the OFedRO and MVES/OMVE. By including the roughly 20,000
cases we expect to have pending FedRO review when this final rule
becomes effective, we significantly increase the pool of cases
available to assist in such evaluation.
Additionally, it will be more efficient to keep the pending cases
with OFedRO than to transfer them to the State agencies. It would take
considerable time for the State agency examiners to familiarize
themselves with the cases, and the actual transfer would present
significant challenges because the OFedRO processing system would have
to communicate with six different State agency processing systems.
With respect to the processing time, we expect that once requests
for FedRO review are suspended, OFedRO will be able to process the
pending workload relatively quickly. Once the flow of cases is
suspended, OFedRO will no longer need to review, develop, and monitor
new cases. Accordingly, FedROs will have more time to devote to
finalizing and writing decisions for the pending cases. Additionally,
the FedROs are increasingly attaining the experience needed to process
cases more quickly.
With respect to contacting individual FedROs, we have recently
taken steps to address this issue. We now have additional staff
assisting in handling telephone calls to OFedRO. In the event that a
call goes to voice mail, updated voice mail messages ask callers to
leave specific information that will facilitate the FedRO's ability to
contact the caller. We also recently began sending compact disks (CDs)
of the electronic folder with the copy of the acknowledgement letter to
representatives in the Boston region who handle large numbers of
claimants. This improvement eliminates the need for the representative
to call to request the CD of the electronic folder. Once the flow of
cases is suspended, support staff will no longer need to send
acknowledgement letters and initial requests for evidence from the
MVES/OMVE. Accordingly, we expect support staff to be able to devote
more time to handling telephone calls.
In light of the comments, we are making one substantive change to
proposed Sec. 405.240 that will reduce slightly the number of cases
that will continue to be processed through the OFedRO and MVES/OMVE.
Proposed Sec. 405.240 used the date an individual files a request for
FedRO review to determine whether the claim would receive FedRO review.
We are amending Sec. 405.240 to use instead the date that we transfer
such a request to the OFedRO. Some requests for FedRO review are
transferred to the OFedRO on the same day that the request is filed,
but others are not. Currently, the average time to transfer claims to
OFedRO after a request is filed is over 14 days. Using the date we
transfer a request to OFedRO will reduce somewhat the number of pending
cases that will receive FedRO review but still provide us a significant
pool of cases to help us evaluate the OFedRO and MVES/OMVE.
Comment: Several commenters supported careful evaluation of the
FedRO and MVES/OMVE through the claims already received in conjunction
with considering alternatives. Two commenters emphasized the importance
of evaluating the ability of the OFedRO or its alternatives to achieve
the underlying goal of getting the right decision earlier in the
disability process.
Response: We are dedicated to providing high-quality service to the
American public, and we are committed to continuously improving the way
we process disability claims. Our goal is to improve the accuracy,
consistency, and timeliness of decision-making throughout the
disability determination process. We will keep this goal at the
forefront of our efforts as we evaluate the OFedRO and MVES/OMVE and
consider any possible alternatives. We plan to continue evaluating case
development, the effect of the MVES/OMVE involvement on the FedRO
decision, and the FedRO decision itself.
Comment: One commenter addressed the clarity of the proposed rule
by suggesting that we include a Definitions section in this rule.
Response: We have not adopted this suggestion because part 405 of
our rules, which this final rule amends, already contains a Definitions
section.
In addition to the changes discussed above, we are making the
following clarifying changes. We are making changes to Sec. Sec.
405.10(d) and 405.240(d) to clarify what types of notices we intend to
publish if we take further action pursuant to those provisions. We are
also making changes to the appendix to subpart A of part 405. We are
revising the language to clarify that if a claimant files a disability
claim in one State but then moves to another State, adjudicators at
subsequent levels of review will apply the regulations applicable at
the time of such subsequent review in the State where the claimant
filed the disability claim. We have removed the examples because we
believe they could result in misunderstanding. We are making a change
to Sec. 405.240(a) to specify the date on which this final rule is
effective and a change to Sec. 405.240(b) to correct a typographical
error. Finally, we are making a change to Sec. 405.240(b), and
conforming changes to subpart J of part 404, subpart D of part 405, and
subpart N of part 416 of our rules, to clarify that we will follow the
procedures in part 405 of our rules to process hearings before an
administrative law judge and any subsequent administrative review in
claims affected by suspension of the FedRO level.
Regulatory Procedures
Executive Order 12866, as Amended, and the Congressional Review Act
We have consulted with the Office of Management and Budget (OMB)
and determined that this final rule meets the criteria for an
economically significant regulatory action under Executive Order 12866,
as amended, and thus meets the criteria for a major rule under the
Congressional Review Act. Accordingly, this final rule was reviewed by
OMB, and it will be effective 60 days after publication. We have also
determined that these final rules meet the plain language requirement
of Executive Order 12866, as amended.
The Office of the Chief Actuary (OCACT) estimates that this rule
will result in program savings of roughly $1.0 billion in OASDI benefit
payments and cost of $0.1 billion in Federal SSI payments over the next
10 years, as shown below (in millions of dollars):
Table 1.--Estimated Effect on OASDI and Federal SSI Benefit Payments of a Regulation Suspending New Claims to
the Federal Reviewing Official and Modifying the Role of the Medical and Vocational Expert System, Fiscal Years
2008-17
[In millions]
----------------------------------------------------------------------------------------------------------------
Fiscal year OASDI SSI Total
----------------------------------------------------------------------------------------------------------------
2008............................................................ -$14 -$3 -$18
[[Page 2414]]
2009............................................................ -42 -9 -51
2010............................................................ -51 -8 -60
2011............................................................ -57 -15 -72
2012............................................................ -45 -6 -51
2013............................................................ -53 9 -44
2014............................................................ -122 22 -100
2015............................................................ -192 29 -163
2016............................................................ -248 40 -208
2017............................................................ -219 82 -137
Totals:
2008-12..................................................... -209 -41 -251
2008-17..................................................... -1,042 140 -902
----------------------------------------------------------------------------------------------------------------
Notes:
1. The estimates are based on the assumptions underlying the President's FY 2008 Budget.
2. Federal SSI payments due on October 1st in fiscal years 2012, 2017 and 2018 are included with payments for
the prior fiscal year.
3. Totals may not equal sum of components due to rounding.
Table 1 above presents the estimated short-range effects on OASDI
benefit payments and Federal SSI payments that will result from
implementation of this final rule, measured relative to the baseline
used for the President's Fiscal Year 2008 Budget and assuming that the
final rule will become effective for initial determinations made on or
after April 1, 2008. The FY 2008 Budget assumed that DSI would be
gradually implemented at the pace of one region per year and be fully
implemented for new claims in all regions by the beginning of FY 2016.
For the 10 States where the Prototype determination process has been or
is being tested, the effect of this final rule will be to retain or
restore the Prototype process so that the first level of appeal of an
initial disability decision will be to an administrative law judge.
As required by OMB Circular A-4 (available at https://
www.whitehouse.gov/omb/circulars/a004/a0-4.pdf), in Table 2, we have
prepared an accounting statement showing the annualized economic impact
of suspending new claims to the FedRO level. All estimated impacts are
classified as transfers.
Table 2.--Accounting Statement: Estimated Economic Impact of Suspending
New Claims to the FedRO Level From 2008-2017 in 2007 Dollars
------------------------------------------------------------------------
Category Transfers
------------------------------------------------------------------------
Annualized Monetized Transfers......... $70.4 million (7% discount
rate).
$74.3 million (3% discount
rate).
From Whom To Whom?..................... From SSA beneficiaries to the
Social Security trust fund and
the general fund.
------------------------------------------------------------------------
Suspending new claims going through the FedRO and OMVE will allow
us to reallocate resources to reduce the backlog at the hearing level
by holding more hearings and making system improvements to increase the
efficiency of our hearings process.
We will also continue to evaluate the FedRO and OMVE through the
processing of claims already received. This evaluation will include an
assessment of DSI, as the pilot is currently implemented in the Boston
region, with existing claims. In the analysis we will analyze DSI's
impact on the timeliness of disability determinations, on overall
program costs, as well as its impact on the administrative costs
required to implement this new process. Once this evaluation is
complete and alternative approaches analyzed, we will make a decision
whether to reinstate the processing of new claims into the FedRO or
pursue an alternative approach to improving the disability
determination process.
Regulatory Flexibility Act
We certify that this rule will not have a significant economic
impact on a substantial number of small entities as it affects only
States and individuals. Therefore, a regulatory flexibility analysis as
provided in the Regulatory Flexibility Act, as amended, is not
required.
Paperwork Reduction Act
These rules impose no new reporting or recordkeeping requirements
requiring OMB clearance.
(Catalog of Federal Domestic Assistance Program Nos. 96.001, Social
Security--Disability Insurance; 96.002, Social Security--Retirement
Insurance; 96.004, Social Security--Survivors Insurance; 96.006,
Supplemental Security Income.)
List of Subjects
20 CFR Part 404
Administrative practice and procedure; Blind; Disability benefits;
Old-Age, Survivors, and Disability Insurance; Reporting and
recordkeeping requirements; Social Security.
20 CFR Part 405
Administrative practice and procedure; Blind, Disability benefits;
Old-Age, Survivors, and Disability Insurance; Public assistance
programs, Reporting and recordkeeping requirements; Social Security;
Supplemental Security Income (SSI).
[[Page 2415]]
20 CFR Part 416
Administrative practice and procedure; Aged, Blind, Disability
benefits, Public Assistance programs; Reporting and recordkeeping
requirements; Supplemental Security Income (SSI).
Dated: October 31, 2007.
Michael J. Astrue,
Commissioner of Social Security.
0
For the reasons set out in the preamble, we are amending subpart J of
part 404, subparts A, C and D of part 405, and subpart N of part 416 as
set forth below:
PART 404--FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE
(1950- )
Subpart J--[Amended]
0
1. The authority citation for subpart J of part 404 continues to read
as follows:
Authority: Secs. 201(j), 204(f), 205(a), (b), (d)-(h), and (j),
221, 223(i), 225, and 702(a)(5) of the Social Security Act (42
U.S.C. 401(j), 404(f), 405(a), (b), (d)-(h), and (j), 421, 423(i),
425, and 902(a)(5)); sec. 5, Pub. L. 97-455, 96 Stat. 2500 (42
U.S.C. 405 note); secs. 5, 6(c)-(e), and 15, Pub. L. 98-460, 98
Stat. 1802 (42 U.S.C. 421 note); sec. 202, Pub. L. 108-203, 118
Stat. 509 (42 U.S.C. 902 note).
0
2. Amend Sec. 404.906 by adding a fourth sentence to paragraph (b)(4)
to read as follows:
Sec. 404.906 Testing modifications to the disability determination
procedures.
* * * * *
(b) * * *
(4) * * * If you requested review by a Federal reviewing official
under part 405 of this chapter and we considered that request a request
for review by an administrative law judge as a result of Sec.
405.240(b) of this chapter, we will apply the procedures contained in
subpart D of part 405 of this chapter.
0
3. Amend Sec. 404.930 by adding paragraph (c) to read as follows:
Sec. 404.930 Availability of a hearing before an administrative law
judge.
* * * * *
(c) If you received a reconsidered determination instead of a
decision by a Federal reviewing official as a result of Sec. 405.240
of this chapter, we will apply the procedures contained in subpart D of
part 405 of this chapter to your request for a hearing before an
administrative law judge.
PART 405--ADMINISTRATIVE REVIEW PROCESS FOR ADJUDICATING INITIAL
DISABILITY CLAIMS
0
4. The authority citation for part 405 continues to read as follows:
Authority: Secs. 201(j), 205(a)-(b), (d)-(h), and (s), 221,
223(a)-(b), 702(a)(5), 1601, 1602, 1631, and 1633 of the Social
Security Act (42 U.S.C. 401(j), 405(a)-(b), (d)-(h), and (s), 421,
423(a)-(b), 902(a)(5), 1381, 1381a, 1383, and 1383b).
Subpart A--[Amended]
0
5. Amend Sec. 405.10 by adding paragraph (d) to read as follows:
Sec. 405.10 Medical and Vocational Expert System.
* * * * *
(d) This section will no longer be effective on the same date as
described in Sec. 405.240(c) of this part unless the Commissioner
decides that the Medical and Vocational Expert System should be
continued and extends the sunset date as described in Sec. 405.240(d)
of this part by publishing a notice of proposed rulemaking and a final
rule in the Federal Register before that date.
0
6. Revise the appendix to subpart A of part 405 to read as follows:
Appendix to Subpart A of Part 405--Claims That Will Be Handled Under
the Procedures in This Part
(a) We will apply the procedures in this part to disability
claims (as defined in Sec. 405.5) filed in Maine, New Hampshire,
Vermont, Massachusetts, Rhode Island, or Connecticut.
(b) If you move from one State to another after your disability
claim has been filed, adjudicators at subsequent levels of review
will apply the regulations applicable at the time of such subsequent
review in the State where you filed the disability claim.
Subpart C--[Amended]
0
7. Add Sec. 405.240 to read as follows:
Sec. 405.240 Sunset of this Subpart.
(a) If you filed a request for review by a Federal reviewing
official and we transferred your claim to the Office of the Federal
Reviewing Official on or before March 17, 2008, the Federal reviewing
official will review and issue a decision on your claim.
(b) If you have received an initial determination under subpart B
of this part, we will process any request for additional administrative
review not described in paragraph (a) of this section as either a
request for reconsideration by the State agency or a request for
hearing before an administrative law judge if your State uses the
testing procedures under Sec. Sec. 404.906 and 416.1406 of this
chapter. In any hearing before an administrative law judge on your
claim, and in any further review of your claim, we will follow the
procedures in this part.
(c) This subpart will no longer be effective the day after a
Federal reviewing official issues a decision on the last of the claims
accepted for review under paragraph (a) of this section.
(d) If compelling evidence shows that the Federal reviewing
official process is efficient, effective, and sustainable given
available Agency resources, the Commissioner may reinstate the Federal
reviewing official process by publishing a notice of proposed
rulemaking and final rule in the Federal Register.
Subpart D--[Amended]
0
8. Amend Sec. 405.301 by revising the first sentence of paragraph (a)
and the first sentence of paragraph (c) to read as follows:
Sec. 405.301 Hearing before an administrative law judge--general.
(a) This subpart explains what to do if you are dissatisfied with a
decision by a Federal reviewing official, a reconsidered determination
you received as a result of Sec. 405.240 of this part, or an initial
determination subject to a hearing by an administrative law judge under
the procedures in this part as a result of Sec. 404.906(b)(4) or Sec.
416.1406(b)(4) of this chapter. * * *
(b) * * *
(c) You may examine the evidence used in making the decision or
determination under review, submit evidence, appear at the hearing, and
present and question witnesses. * * *
0
9. Revise Sec. 405.305 to read as follows:
Sec. 405.305 Availability of a hearing before an administrative law
judge.
You may request a hearing before an administrative law judge if you
are dissatisfied with the Federal reviewing official's decision on your
disability claim, the reconsidered determination you received as a
result of Sec. 405.240 of this part, or an initial determination
subject to a hearing by an administrative law judge under the
procedures in this part as a result of Sec. 404.906(b)(4) or Sec.
416.1406(b)(4) of this chapter.
0
10. Amend Sec. 405.310 by revising the first sentence of paragraph (b)
to read as follows:
Sec. 405.310 How to request a hearing before an administrative law
judge.
* * * * *
(b) * * * An administrative law judge will conduct a hearing if you
request one in writing no later than 60 days
[[Page 2416]]
after the date you receive notice of the Federal reviewing official's
decision, the reconsidered determination you received as a result of
Sec. 405.240 of this part, or the initial determination subject to a
hearing by an administrative law judge under the procedures in this
part as a result of Sec. 404.906(b)(4) or Sec. 416.1406(b)(4) of this
chapter (or within the extended time period if we extend the time as
provided in paragraph (d) of this section). * * *
* * * * *
PART 416--SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND
DISABLED
Subpart N--[Amended]
0
11. The authority citation for subpart N of part 416 continues to read
as follows:
Authority: Secs. 702(a)(5), 1631, and 1633 of the Social
Security Act (42 U.S.C. 902(a)(5), 1383, and 1383b); sec. 202, Pub.
L. 108-203, 118 Stat. 509 (42 U.S.C. 902 note).
0
12. Amend Sec. 416.1406 by adding a fourth sentence to paragraph
(b)(4) to read as follows:
Sec. 416.1406 Testing modifications to the disability determination
procedures.
* * * * *
(b) * * *
(4) * * * If you requested review by a Federal reviewing official
under part 405 of this chapter and we considered that request a request
for review by an administrative law judge as a result of Sec.
405.240(b) of this chapter, we will apply the procedures contained in
subpart D of part 405 of this chapter.
0
13. Amend Sec. 416.1430 by adding paragraph (c) to read as follows:
Sec. 416.1430 Availability of a hearing before an administrative law
judge.
* * * * *
(c) If you received a reconsidered determination instead of a
decision by a Federal reviewing official as a result of Sec. 405.240
of this chapter, we will apply the procedures contained in subpart D of
part 405 of this chapter to your request for a hearing before an
administrative law judge.
[FR Doc. E8-148 Filed 1-14-08; 8:45 am]
BILLING CODE 4191-02-P