§416.1403. Administrative actions that are not initial determinations.

20 C.F.R. § 416.1403

(a)

Administrative actions that are not initial determinations may be reviewed by us, but they are not subject to the administrative review process provided by this subpart and they are not subject to judicial review. These actions include, but are not limited to, an action about—

(1)

Presumptive disability or presumptive blindness;

(2)

An emergency advance payment (as defined in § 416.520(b));

(3)

Denial of a request to be made a representative payee;

(4)

Denial of a request to use the expedited appeals process;

(5)

Denial of a request to reopen a determination or a decision;

(6)

The fee that may be charged or received by a person who has represented you in connection with a proceeding before us;

(7)

Refusing to recognize, disqualifying, or suspending a person from acting as your representative in a proceeding before us (see §§ 416.1505 and 416.1545);

(8)

Denying your request to extend the time period for requesting review of a determination or a decision;

(9)

Determining whether (and the amount of) travel expenses incurred are reimbursable in connection with proceedings before us;

(10)

Denying your request to readjudicate your claim and apply an Acquiescence Ruling;

(11)

Determining whether an organization may collect a fee from you for expenses it incurs in serving as your representative payee (see § 416.640a);

(12)

Declining under § 416.351(f) to make a determination on a claim for benefits based on alleged misinformation because one or more of the conditions specified in § 416.351(f) are not met;

(13)

Transition to eligibility for special SSI cash benefits (§ 416.262) in a month immediately following a month for which you were eligible for regular SSI benefits;

(14)

Transition to eligibility for regular SSI benefits in a month immediately following a month for which you were eligible for special SSI cash benefits (§ 416.262);

(15)

The determination to reduce, suspend, or terminate your federally administered State supplementary payments due to a State-initiated mass change, as defined in § 416.1401, in the levels of such payments, except as provided in § 416.1402(n);

(16)

Termination of Federal administration of State supplementary payments;

(17)

Findings on whether we can collect an overpayment by using the Federal income tax refund offset procedure. (see § 416.583);

(18)

Determining whether we will refer information about your overpayment to a consumer reporting agency (see §§ 416.590 and 422.305 of this chapter);

(19)

Determining whether we will refer your overpayment to the Department of the Treasury for collection by offset against Federal payments due you (see §§ 416.590 and 422.310 of this chapter);

(20)

Determining whether we will order your employer to withhold from your disposable pay to collect an overpayment you received under title XVI of the Social Security Act (see part 422, subpart E, of this chapter);

(21)

Determining when provisional benefits are payable, the amount of the provisional benefit payable, and when provisional benefits terminate (see § 416.999c);

(22)

Determining whether to select your claim for the quick disability determination process under § 416.1019;

(23)

The removal of your claim from the quick disability determination process under § 416.1019;

(24)

Starting or discontinuing a continuing disability review;

(25)

Issuing a receipt in response to your report of a change in your earned income; and

(26)

Determining whether a non-attorney representative is eligible to receive direct fee payment as described in § 416.1517 of this part.

(b)

We send some notices of actions that are not initial determinations—

(1)

If you receive an emergency advance payment; presumptive disability or presumptive blindness payment, or provisional payment, we will provide a notice explaining the nature and conditions of the payments.

(2)

If you receive presumptive disability or presumptive blindness payments, or provisional payments, we shall send you a notice when those payments are exhausted.

(3)

If there is a termination of Federal administration of State supplementary payments.

Notes, amendments, and revision history

Amendments

[45 FR 52096, Aug. 5, 1980, as amended at 51 FR 8809, Mar. 14, 1986; 55 FR 1020, Jan. 11, 1990; 55 FR 4423, Feb. 8, 1990; 57 FR 23058, June 1, 1992; 59 FR 41405, Aug. 12, 1994; 59 FR 43039, Aug. 22, 1994; 59 FR 44928, Aug. 31, 1994; 62 FR 49440, Sept. 22, 1997; 66 FR 67081, Dec. 28, 2001; 68 FR 74184, Dec. 23, 2003; 70 FR 57146, Sept. 30, 2005; 71 FR 16461, Mar. 31, 2006; 71 FR 66859, 66867, Nov. 17, 2006; 72 FR 51178, Sept. 6, 2007; 76 FR 45194, July 28, 2011; 76 FR 80247, Dec. 23, 2011; 80 FR 400, Jan. 6, 2015]

Authority

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).

Source

Source: 45 FR 52096, Aug. 5, 1980, unless otherwise noted.

§416.1403. Administrative actions that are not initial determinations.

Amendments

Authority

Source

Amendments

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