81_FR_91229 81 FR 90987 - Ensuring Program Uniformity at the Hearing and Appeals Council Levels of the Administrative Review Process

81 FR 90987 - Ensuring Program Uniformity at the Hearing and Appeals Council Levels of the Administrative Review Process

SOCIAL SECURITY ADMINISTRATION

Federal Register Volume 81, Issue 242 (December 16, 2016)

Page Range90987-90997
FR Document2016-30103

We are revising our rules so that more of our procedures at the hearing and Appeals Council levels of our administrative review process are consistent nationwide. We anticipate that these nationally consistent procedures will enable us to administer our disability programs more efficiently and better serve the public.

Federal Register, Volume 81 Issue 242 (Friday, December 16, 2016)
[Federal Register Volume 81, Number 242 (Friday, December 16, 2016)]
[Rules and Regulations]
[Pages 90987-90997]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-30103]


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SOCIAL SECURITY ADMINISTRATION

20 CFR Parts 404, 405 and 416

[Docket No. SSA-2014-0052]
RIN 0960-AH71


Ensuring Program Uniformity at the Hearing and Appeals Council 
Levels of the Administrative Review Process

AGENCY: Social Security Administration.

ACTION: Final rule.

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SUMMARY: We are revising our rules so that more of our procedures at 
the hearing and Appeals Council levels of our administrative review 
process are consistent nationwide. We anticipate that these nationally 
consistent procedures will enable us to administer our disability 
programs more efficiently and better serve the public.

DATES: This final rule will be effective on January 17, 2017. However, 
compliance is not required until May 1, 2017.

FOR FURTHER INFORMATION CONTACT: Patrick McGuire, Office of Appellate 
Operations, Social Security Administration, 5107 Leesburg Pike, Falls 
Church, VA 22041, (703) 605-7100. 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 http://www.socialsecurity.gov.

SUPPLEMENTARY INFORMATION

Background

    We are revising and making final the rules for creating nationally 
uniform hearing and Appeals Council procedures, which we proposed in a 
notice of proposed rulemaking (NPRM) published in the Federal Register 
on July 12, 2016 (81 FR 45079). In the preamble to the NPRM, we 
discussed the changes we proposed from our current rules and our 
reasons for proposing those changes. In the NPRM, we proposed revisions 
to: (1) The time frame for notifying claimants of a hearing date; (2) 
the information in our hearing notices; (3) the period when we require 
claimants to inform us about or submit written evidence, written 
statements, objections to the issues, and subpoena requests; (4) what 
constitutes the official record; and (5) the manner in which the 
Appeals Council would consider additional evidence.
    As we explained in the preamble to our NPRM, we proposed these 
changes to ensure national consistency in our policy and procedures and 
improve accuracy and efficiency in our administrative review process. 
We expect this final rule will positively affect our ability to manage 
our workloads and lead to better public service. Interested readers may 
refer to the preamble to the NPRM, available at http://www.regulations.gov under docket number SSA-2014-0052.

What changes are we making from the NPRM?

    We are making several changes in this final rule from the NPRM 
based on some of the public comments we received. We briefly outline 
those changes here and provide additional detail on the changes in the 
comment and response section that follows. We are also making minor 
editorial changes throughout this final rule. For the reader's ease of 
review, we refer to the general requirement that all evidence, 
objections, or written statements be submitted at least 5 business days 
before the date of the hearing as the ``5-day requirement.'' We adopted 
the following changes from our NPRM in this final rule:
     We lengthened the time frame for notifying claimants of a 
hearing date in

[[Page 90988]]

20 CFR 404.938 and 416.1438 from at least 60 days to at least 75 days;
     In 20 CFR 404.935(b)(3)(iv) and 416.1435(b)(3)(iv), we 
removed the phrase ``through no fault of your own'' to reduce the 
evidentiary burden on claimants who are unable to provide evidence;
     We clarified that the circumstances set forth in 20 CFR 
404.935(b)(3)(i) to (b)(3)(iv) and 416.1435(b)(3)(i) to (b)(3)(iv) are 
merely examples and do not constitute an exhaustive list;
     We added the same exceptions to the 5-day requirement that 
we proposed for the submission of evidence in 20 CFR 404.935 and 
416.1435 to the deadlines related to objecting to the issues (20 CFR 
404.939 and 416.1439), presenting written statements (20 CFR 404.949 
and 416.1449), and submitting subpoenas (20 CFR 404.950(d)(2) and 
416.1450(d)(2));
     We added language to 20 CFR 404.949 and 416.1449 to 
clarify that the 5-day requirement applies only to pre-hearing written 
statements, not to post-hearing written statements;
     We added an example of an exception for submitting 
additional evidence to the Appeals Council in 20 CFR 404.970(b)(3)(v) 
and 416.1470(b)(3)(v);
     We reorganized paragraphs (a)(5) and (b) of 20 CFR 404.970 
and 416.1470;
     We removed proposed subsection 20 CFR 404.970(d) and 
416.1470(d);
     We added clarifying cross-references to 20 CFR 404.900 and 
416.1400 and 20 CFR 404.929 and 416.1429 to place the 5-day requirement 
in 20 CFR 404.935 and 416.1435 in context; and,
     We broadened the existing cross-reference in 20 CFR 
404.968 and 416.1468 and 20 CFR 404.979 and 416.1479 to reference the 
entire section of 20 CFR 404.970 and 416.1470, and we removed the cross 
reference to 20 CFR 404.976 and 416.1476 in 20 CFR 404.979 and 
416.1479.

Public Comments

    We initially provided a 30-day comment period that would have ended 
on August 11, 2016. We subsequently extended the comment period for an 
additional 15 days, until August 26, 2016 (81 FR 51412). We received 
154 comments on our proposed rule from the public, interested advocacy 
groups, and several members of Congress. We did not consider six 
comments because they either came from employees who commented in their 
official employment capacity, which is a violation of our policy, or 
they were outside the scope of this rulemaking. We published and 
carefully considered the remaining 148 comments and, where appropriate, 
made changes in response to these comments.
    Below, we summarize and respond to the comments submitted on the 
proposed rule, and respond to the significant issues relevant to this 
rulemaking. We do not respond to comments that are outside the scope of 
this rulemaking proceeding.

Hearing Notice Requirement

    Comment: Several commenters supported our proposal to provide more 
advance notice of a hearing, but asked that we adopt the 75-day advance 
notice requirement currently in place in the Boston region, rather than 
the 60-day advance notice we proposed in the NPRM. Several of the 
commenters stated that earlier notice would allow claimants to: (1) 
Obtain and submit the information and evidence, especially when a 
medical provider is uncooperative; (2) make arrangements for 
transportation to the hearing; (3) take into account time frames under 
the regulations implementing the Health Insurance Portability and 
Accountability Act (HIPAA) that provide an entity up to 60 days before 
it must produce records (45 CFR 164.524(b)); and (4) avoid a 
postponement of hearing due to non-receipt of medical records. Several 
other commenters said that even a 75-day notice requirement is 
insufficient, and that we should provide notice 90 to 120 days in 
advance of a hearing.
    Response: We recognize that claimants and representatives may 
sometimes face challenges in acquiring medical records. In response to 
multiple advocate comments indicating a preference for 75 days' advance 
notice of a hearing instead of 60 days, we are revising the final rule 
to provide 75 days' advance notice. Since we already have approximately 
a decade of experience in using the 75-day advance notice period in the 
Boston Region, we believe its expansion nationwide is justified.
    We proposed a 60-day period in our NPRM because we believed it 
would promote the efficiency of our hearing process (81 FR at 45081). 
However, we recognize the concerns that that commenters raised, 
including stated concerns about the adequacy of a 60-day advance notice 
requirement in light of the timeframe an entity has to provide evidence 
to an individual under the HIPAA regulations. In order to minimize the 
burden on claimants, we have decided to adopt the commenters' 
suggestion that we continue to provide at least 75-day advance notice 
of a hearing, as we have done under the rules we have been applying in 
the Boston region since 2006.
    Some commenters requested that we extend the advance notice period 
to 90 or 120 days instead of the proposed 60-days advance notice. We 
have decided not to extend the advance notice period to 90 or 120 days, 
because providing a hearing date this far in advance would increase the 
likelihood that an adjudicator's schedule will change by the scheduled 
hearing date. Moreover, in contrast to the 75-day period, we have no 
current model to support the use of a longer time period.

Exceptions to the 5-Day Requirement

    Comment: Several commenters asked that we retain the exception in 
20 CFR 404.935(b)(3)(iv) in the final rule because it recognized the 
difficulties of obtaining medical evidence, while another commenter 
suggested we eliminate this exception because it was vague and contrary 
to the intent and purpose of the proposed rule. Several commenters 
expressed concerns about our exceptions to the 5-day requirement 
because they were too narrowly defined, too subjective, and would 
increase our workloads. Other commenters suggested that we add 
additional exceptions, such as when the claimant is homeless or lacks 
representation. One commenter requested that the Appeals Council also 
find good cause for submitting evidence after the 5-day requirement if 
the claimant was unrepresented or homeless at the hearing level.
    Response: We provide examples of exceptions to the 5-day 
requirement in final 20 CFR 404.935(b)(3) and 416.1435(b)(3) and have 
clarified that we did not intend for them to be all-inclusive or to 
exclude other extenuating circumstances that may result in a claimant 
being unable to meet the 5-day requirement. To clarify this point, we 
changed the regulatory text to state that ``[e]xamples include, but are 
not limited to'' the outlined exceptions. Because circumstances vary, 
we determine whether a claimant qualifies for an exception on a case-
by-case basis.
    We do not anticipate that evaluating requests for exceptions to the 
5-day requirement will increase our workloads. We recognize that 
compliance with the 5-day requirement will not be possible in all 
situations; however, based on our experience in the Boston region, we 
expect that providing at least 75 days' advance notice of a hearing 
will significantly increase the number of times evidence is obtained 
and submitted at least 5 business days before the hearing. We also note 
that in our experience the need to evaluate

[[Page 90989]]

requests to submit evidence pursuant to one of the exceptions has not 
caused workload spikes in our Boston region, where a 5-day requirement 
has been in place for more than a decade. When a claimant or appointed 
representative is aware that he or she will need more time to submit 
evidence in accordance with one of the exceptions, we expect that he or 
she will provide us with the necessary information in advance. To do 
so, the claimant or representative should notify the administrative law 
judge (ALJ) of what the evidence generally consists of and the expected 
volume of evidence (e.g., one visit to a treating physician or a one-
week hospital stay). When the claimant or his or her representative 
timely provides this information to the ALJ, we expect that evaluating 
the request for an exception will likely be very simple.
    The fact that a claimant is homeless or lacks representation does 
not automatically excuse him or her from complying with our rules. 
However, situations such as these may result in circumstances that 
warrant an exception to the 5-day requirement. We will evaluate these 
circumstances carefully on a case-by-case basis under the exceptions 
described in the final rule.
    Comment: Commenters who represented advocacy groups noted that our 
proposed rule did not include exceptions to deadline requirements for 
objecting to the issues (20 CFR 404.939 and 416.1439), presenting 
written statements (20 CFR 404.949 and 416.1449), and submitting 
subpoenas (20 CFR 404.950(d)(2) and 416.950(d)(2)). Some commenters had 
concerns that the 5-day requirement, as applied to objections to the 
issues, could force representatives to develop boilerplate notices that 
list all possible objections in every case.
    Response: We agree with the commenters' concerns, and we have added 
exceptions for the deadlines related to objecting to the issues (20 CFR 
404.939 and 416.1439), presenting written statements (20 CFR 404.949 
and 416.1449), and submitting subpoenas (20 CFR 404.950(d)(2) and 
416.1450(d)(2)). The exceptions in 20 CFR 404.939 and 416.1439 should 
eliminate the need for representatives to develop boilerplate notices.

Appeals Council Authority

    Comment: While one commenter supported the proposal in subsections 
20 CFR 404.970(d) and 416.1470(d) that the Appeals Council conduct 
hearings to develop evidence, other commenters expressed concern about 
the proposal. A few of these commenters stated it was an expansion of 
the Appeals Council's authority and was inconsistent with the 
Administrative Procedure Act. Other commenters stated that we did not 
provide an adequate explanation of the authority for such hearings.
    Response: Since the beginning of our hearing process in 1940, our 
regulations (currently found in sections 20 CFR 404.956 and 416.1456) 
have authorized the Appeals Council to remove a hearing request from an 
ALJ and conduct the hearing proceedings, using the rules that ALJs 
apply. We proposed to revise sections 20 CFR 404.970 and 416.1470 to 
clarify the Appeals Council's authority in this area. Although we 
disagree with some of the comments, including concerns that the 
proposal lacked legal support, we understand the concerns the 
commenters raised regarding this proposal. As a result, we have decided 
to remove the rule we proposed in subsections 404.970(d) and 
416.1470(d). The Appeals Council will continue to exercise its 
authority to develop evidence in accordance with 20 CFR 404.976(b) and 
416.1446(b).

``Inform'' Option

    Comment: Several commenters stated the proposed rule may have 
unintended consequences because appointed representatives may rely on 
the ``inform'' option in 20 CFR 404.935 and 416.1435 and in 20 CFR 
404.1512 and 416.912 to avoid developing evidence. A few commenters 
stated if we retain the ``inform'' option, we should require the 
claimant to inform the hearing office earlier so there would be time to 
develop the evidence and avoid unnecessary supplemental hearings.
    Response: On April 20, 2015, we implemented a final rule that 
requires a claimant to ``inform us about or submit all evidence known 
to you that relates to whether you are blind or disabled.'' 81 FR 
14828. As we stated in the preamble to that proposed rule, we 
specifically added this option because we did not intend to shift our 
burden to develop the record to claimants. In the proposed rule, as in 
this final rule, we recognize that some individuals, many of whom do 
not have appointed representatives, require our assistance in obtaining 
medical evidence needed to adjudicate their claims. Claimants who are 
unable to obtain evidence necessary to adjudicate their claims may 
inform us of this difficulty and we will continue to seek out evidence 
on their behalf to develop the record for their hearing. By adopting 
this final rule, we have not changed our longstanding policy of 
assisting claimants in developing the record. At the hearing level, 
this policy has been explicitly set forth in our sub-regulatory 
instructions.
    Because most claimants are represented at the hearing level, and 
because we are providing more advance notice of a hearing than we have 
in the past, we expect to significantly reduce the number of postponed 
hearings or supplemental hearings needed based on evidence that was 
available at least 5 business days before the hearing.
    In our experience, the vast majority of representatives act 
ethically in regard to evidence development and make good faith efforts 
to assist claimants in obtaining and submitting the required evidence 
before a hearing, as required under 20 CFR 404.1740(b)(2) and 
416.1540(b)(2). Therefore, we do not expect the ``inform'' option to 
significantly affect our administrative processes.
    In those circumstances in which hearing offices assist 
unrepresented claimants in developing evidence, our sub-regulatory 
instructions will clarify that employees in our hearing offices should 
undertake development as early as possible to reduce the number of 
continuances or postponed hearings.

5-Day Requirement

    Comment: Some commenters thought the 5-day requirement in the 
proposed rules was inconsistent with our duty to make eligibility 
decisions based on the evidence presented at the hearing.
    Response: In developing these rules, we were guided by the two 
principles that we have always applied when we make decisions regarding 
our programs: As the Supreme Court has observed, the Social Security 
system ``must be fair--and it must work.'' \1\ These final rules 
appropriately balance these two guiding principles. These rules are 
fair because they provide the claimant with more advance notice of his 
or her hearing, and they provide appropriate exceptions to the 5-day 
requirement. At the same time, the 5-day requirement promotes the 
efficiency of our hearings process and allows it to work more 
effectively by ensuring that ALJs have a more complete evidentiary 
record when they hold hearings. Striking such a balance in our rules is 
of paramount importance to us. That balance would not be present if, as 
some commenters suggested, we merely gave claimants more advance notice 
of a hearing, without the 5-day requirement. Conversely, that balance 
would not be present if we simply imposed a 5-day requirement, without 
giving a claimant more advance notice of a hearing. Given the size of 
our

[[Page 90990]]

hearings workloads,\2\ where the need for efficiency is ``self-
evident,'' \3\ these final rules appropriately balance the twin 
concerns of fairness and efficiency that always guide us.
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    \1\ Richardson v. Perales, 402 U.S. 389, 399 (1971).
    \2\ See Annual Statistical Supplement to the Social Security 
Bulletin, 2015, Table 2.F9, at page 2.81 (April 2016) (setting out 
the number of hearing level receipts, dispositions, and end-of-year 
pending cases for fiscal years 012-2014).
    \3\ See Barnhart v. Thomas, 540 U.S. 20, 28-29 (2003) (``As we 
have observed, `[t]he Social Security hearing system is `probably 
the largest adjudicative agency in the western world.' . . . The 
need for efficiency is self-evident.' '') (quoting Heckler v. 
Campbell, 461 U.S. 458, 461 n.2 (1983)).
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    In publishing this final rule, we do not intend to change the 
purpose of a hearing, where an ALJ looks fully into the issues and 
obtains oral testimony from the claimant and witnesses, if any. 
Additionally, our final rule contemplates that some circumstances may 
warrant the introduction of new evidence at or after the hearing, and 
includes appropriate exceptions to accommodate these circumstances. 
Thus, under our final rule, adjudicators will continue to make 
decisions based on the evidence of record, including the evidence 
adduced at the hearing. However, we expect that our final rule will 
help to ensure that evidentiary records are more complete at the time 
of the administrative hearing, which should reduce the need for post-
hearing proceedings and help us provide better, more timely service to 
all claimants.
    Comment: Some commenters stated that the philosophical 
underpinnings of the rule in 20 CFR 404.1512 is that ALJs must have all 
evidence that is available at the time of the hearing so they can reach 
the correct decision. The commenters thought that the proposed rule 
conflicted with our rule requiring claimants to submit all evidence. 
The commenters noted that it would not make sense to place a duty on 
the claimant to submit evidence when at the same time, rules are 
created that would allow an ALJ not to consider that evidence.
    Response: Our approach with this rule is tied to the 
``philosophical underpinnings'' of 20 CFR 404.1512 and 416.912, which 
describe a claimant's ongoing duty to ``inform us about or submit all 
evidence known to you that relates to whether or not you are blind or 
disabled.'' This rule will ensure claimants have the benefit of a fully 
developed record at the time our ALJs conduct their hearings. We 
recognize that there will be circumstances in which claimants cannot 
produce evidence at least 5 business days before the hearing. As stated 
above, we have included appropriate exceptions to the 5-day requirement 
to ensure fairness when a claimant or his or her representative 
actively and diligently seeks evidence but is unable to obtain it. To 
bolster this point, in 20 CFR 404.935(b)(3)(iv) and 416.1435(b)(3)(iv), 
we removed the phrase ``through no fault of your own'' to ensure that 
our adjudicators interpret this exception consistent with our intent. 
We intend the words ``actively'' and ``diligently'' to be interpreted 
using their ordinary English usage. When a claimant or representative 
shows that he or she made a good faith effort to timely request, 
obtain, and submit evidence, but he or she did not receive the evidence 
in time to submit it at least 5 business days before the hearing 
because of circumstances outside his or her control, we expect that our 
adjudicators would find that this standard is met.
    Some commenters perceived this rule as an exclusionary procedure 
designed to prevent the introduction of medical records at the expense 
of the claimant's case. Our experience is more consistent with one of 
the commenters from the Boston region who noted that most ALJs 
``effectively draw the line between evidence which had been available 
but was not submitted, and previously unavailable evidence'' and ``do 
not use the 5-day rule as a punitive device against claimants or their 
representatives.'' Further, in those situations in which an ALJ in the 
Boston region did not correctly find reason to accept evidence outside 
the 5-day time frame, the Appeals Council granted review in order to 
consider the information on appeal where the evidence raised a 
reasonable probability of changing the outcome of the case. This 
important practice will continue in our final rule.
    Comment: Some commenters pointed out that the 5-day requirement 
would preclude a claimant from submitting evidence at the hearing or 
Appeals Council level of the administrative process, particularly if a 
claimant is illiterate or does not speak English, or is without an 
appointed representative or obtained a representative shortly before 
the hearing date, and this exclusion was an undue burden, fundamentally 
unfair, and disadvantaged claimants in favor of adjudicators.
    Response: We expect that this final rule will enhance our decision-
making process and allow us to provide more timely decisions to 
claimants. We do not intend to unduly burden claimants with this rule. 
By asking claimants to inform us about or submit evidence at least 5 
business days before the hearing date, we expect that evidentiary 
records will be more complete and comprehensive at the time of the 
scheduled hearing. In turn, this should facilitate the ALJ's ability to 
look fully into the issues at the hearing and produce a timely, 
accurate decision. As stated above, we will continue our longstanding 
practice of assisting those individuals who, for various reasons, are 
unable to develop the record themselves. This rule also incorporates 
appropriate exceptions to take into account for the needs of 
individuals who, due to unique circumstances, do not fully understand 
or are not capable of adhering to our requirements or requests.
    Comment: Some commenters said that the proposed rule makes the 
administrative review process more formal and adversarial. Commenters 
also asked the agency to clarify that if a claimant informs an ALJ 
about evidence at least 5 business days before the hearing, the ALJ 
must consider the evidence regardless of whether an exception exists. 
Commenters said that the proposed rule overlooked that an ALJ 
adjudicates a case through the date of his or her decision, and that he 
or she needs evidence of ongoing treatment to adjudicate the case. 
Commenters also said the proposed rule did not provide the claimant 
with an opportunity to submit evidence to rebut other evidence produced 
at or after the hearing or permit an ALJ to hold the record open when a 
new issue arises during the hearing.
    Response: From our experience, similar rules that applied in the 
Boston region for approximately a decade have not resulted in a more 
adversarial process or misunderstandings from the public. Moreover, 
many of our other rules that apply nationwide impose deadlines or other 
requirements on the public, such as the deadline to appeal a 
determination or decision. While processing a case, we frequently 
request that individuals submit a response or provide us with 
information within certain timeframes. We have not found that these 
provisions make our process more adversarial. Rather, like this final 
rule, they are necessary for efficient administration of our programs.
    If a claimant informs an ALJ about evidence 5 or more days before 
the hearing, there would be no need for the ALJ to find that an 
exception applies, because the claimant notified us prior to the 
deadline.
    While it is true that, in many cases, an ALJ adjudicates the case 
through the date of the hearing decision, our rule is not intended to 
prevent a claimant from submitting evidence related to ongoing 
treatment. Rather, we expect that

[[Page 90991]]

evidence of ongoing treatment, which was unavailable at least 5 
business days before the hearing, would qualify under the exception in 
20 CFR 404.935(b)(3) and 416.1435(b)(3).
    Similarly, if an ALJ introduces new evidence at or after a hearing, 
the claimant could use the exception in 20 CFR 404.935(b)(3) and 
416.1435(b)(3) to submit rebuttal evidence. The claimant could also 
rebut evidence introduced at or after the hearing by submitting a 
written statement to the ALJ. As previously mentioned, we added 
language to 20 CFR 404.949 and 416.1449 to clarify that the 5-day 
requirement applies only to pre-hearing written statements, not to 
post-hearing written statements.
    Comment: Some commenters stated that the 5-day requirement could 
affect a representative's ability to prepare useful and persuasive pre-
hearing statements, given that the Office of Disability Adjudication 
and Review (ODAR) frequently exhibits files very close to the hearing 
date.
    Response: For the same reasons we are adopting a 5-day requirement 
for available evidence, we are adopting this requirement for pre-
hearing written statements to ensure that an ALJ has the benefit of 
reviewing arguments before the hearing. This will allow the ALJ to be 
fully aware of any unresolved issue(s) that a claimant is raising and 
which the ALJ may need to address at the hearing. While we are 
sympathetic to the commenters who noted exhibit numbers were unlikely 
to be available at least 5 business days before the hearing, we note 
that this issue existed under our prior rules as well and therefore, 
this convenience does not outweigh our need for a complete case file 
before the hearing.
    Comment: Some commenters stated that the 5-day requirement could 
disadvantage claimants who hire representatives shortly before the 
hearing date.
    Response: We reiterate that we expect all appointed representatives 
to make good faith efforts to assist claimants in obtaining and 
submitting the required evidence before a hearing, as required under 20 
CFR 404.1740(b)(2) and 416.1540(b)(2). However, we have included 
appropriate exceptions to the 5-day requirement to ensure fairness when 
a claimant or his or her representative actively and diligently seeks 
evidence but is unable to obtain it. The appointment of a 
representative shortly before a hearing may be such an exception, 
depending on the circumstances surrounding the late appointment. In 
addition, we note that if a claimant informs an ALJ about evidence 5 or 
more days before the hearing, there would be no need for the ALJ to 
find that an exception applies, because the claimant notified us prior 
to the deadline.

Representation

    Comment: A few commenters argued that when taking a new case, 
representatives often find that prior counsel was incompetent in 
obtaining evidence, and this rule, as applied at both the hearing and 
Appeals Council levels, unjustly harms claimants represented by such 
individuals.
    Response: We reiterate that we expect all appointed representatives 
to make good faith efforts to assist claimants in obtaining and 
submitting the required evidence before a hearing, as required under 20 
CFR 404.1740(b)(2) and 416.1540(b)(2). Additionally, if a new 
representative can show that a prior representative did not adequately 
uphold his or her duty to the claimant, we expect that our adjudicators 
would find that this would warrant an exception to the 5-day 
requirement.

Other

    Comment: Several commenters stated the new standard at the Appeals 
Council level would force claimants to choose between filing a new 
claim and appealing an ALJ's decision to the Appeals Council, which 
could result in the loss of significant benefits. Another commenter 
stated it would result in filing more new applications overall or the 
reopening of prior applications so that a claimant could submit 
previously excluded evidence.
    Response: It bears reiterating that we expect the final rule will 
help to ensure that evidentiary records are more complete at the time 
of the scheduled hearing. However, our final rule contemplates that 
some circumstances may warrant the introduction of new evidence at or 
after the hearing, and includes an ``inform'' option and broad 
exceptions to accommodate these circumstances. With the ``inform'' 
option and the broad exceptions to the 5-day requirement, we do not 
expect to see a spike in new applications or reopenings.
    Moreover, it is already our policy that if a claimant wants to file 
a new disability application under the same title and for the same 
benefit type as a disability claim pending at the Appeals Council 
level, and the claimant does not have evidence of a new critical or 
disabling condition, the claimant must choose to continue the appeal of 
the prior claim or file a new application. Nothing in the proposed or 
final rule substantively changes this policy.
    Under our current rules in 20 CFR 404.970 and 416.1470, the Appeals 
Council considers additional evidence only if it is new, material, and 
related to the period on or before the date of the ALJ's decision. This 
does not mean, however, that the Appeals Council grants a claimant's 
request for review of an ALJ's decision whenever additional evidence 
meets this criteria. In many cases, the Appeals Council adds evidence 
that meets the criteria to the record, but denies the request for 
review of the case. Under our current rules, the Appeals Council will 
review a case in this situation only if it finds that the ALJ's action, 
findings, or conclusion is contrary to the weight of the evidence 
currently of record. This final rule provides more clarity to this 
procedure. Under this final rule, the Appeals Council will grant review 
of a case based on the receipt of additional evidence if the evidence 
is new, material, and related to the period on or before the date of 
the hearing decision and if there is a reasonable probability that the 
additional evidence would change the outcome of the decision.
    If a claimant submits evidence that the Appeals Council does not 
consider, the Appeals Council will notify the claimant that if he or 
she files a new application for disability insurance benefits within 6 
months or a new application for Supplemental Security Income within 60 
days of the Appeals Council notice, the date of the request for review 
will constitute a protective filing for a new application.
    Comment: One commenter expressed concerns about the proposed 
language in 20 CFR 404.951(b) and 416.1451(b) because adding the phrase 
``appropriate reference'' was insufficient to describe what evidence an 
ALJ must include in the record.
    Response: During the time that substantially the same rule was in 
place in the Boston region, we did not experience any confusion as to 
the meaning of the phrase ``appropriate reference.'' Further, this 
language is consistent with our longstanding sub-regulatory policies 
and practices nationwide, and adoption of this language does not change 
our policies regarding what constitutes the official record.
    Comment: Many commenters submitted a broad statement that there 
have been ``serious problems'' and inconsistencies with implementation 
of the 5-day requirement in the Boston region. The commenters generally 
presented two main points: (1) There was variance in applying the 5-day 
requirement between ALJs; and (2) ALJs who did apply the rule varied in 
when

[[Page 90992]]

the 5-day requirement ended and in evaluating whether an exception to 
the 5-day requirement applied.
    Response: We acknowledge that in a report issued by the 
Administrative Conference of the United States (ACUS) \4\ on December 
13, 2013, ACUS noted several variances in applying similar rules in the 
Boston region. However, in response to the ACUS report, we provided 
additional training to adjudicators and staff regarding application of 
our Part 405 rules. We also incorporated instructions for processing 
cases originating in the Boston region into our training materials for 
all staff, including addressing Part 405 issues in several of our 
quarterly Videos-On-Demand series that focus on new or problematic 
areas of adjudication. We updated our sub-regulatory guidance to 
include references and instructions on how to process cases under Part 
405. We will provide the training and instruction necessary to ensure 
consistent application of our rules nationwide.
---------------------------------------------------------------------------

    \4\ Administrative Conference of the United States, ``SSA 
Disability Benefits Adjudication Process: Assessing the Impact of 
the Region I Pilot Program,'' Final Report: December 23, 2013. 
https://www.acus.gov/sites/default/files/documents/Assessing%20Impact%20of%20Region%20I%20Pilot%20Program%20Report_12_23_13_final.pdf.
---------------------------------------------------------------------------

    Comment: One commenter asked that if we retain the 5-day 
requirement, we amend the language to require that each party make 
every reasonable effort to ensure the ALJ receives all the evidence. 
The commenter noted that proposed 20 CFR 404.935(a) and 416.1435(a) 
require ``every effort,'' which the commenter believed is an impossible 
standard to meet.
    Response: While our final rule requires a claimant to ``make every 
effort to ensure that the administrative law judge receives all of the 
evidence,'' we do not believe the rule creates an ``impossible 
standard'' because it also includes appropriate exceptions to 
accommodate circumstances when, despite good faith efforts, the 
claimant cannot satisfy the 5-day requirement.
    Comment: Some commenters stated that 20 CFR 404.944(a)(1) and 
416.1444(a)(1) conflict with 20 CFR 404.1512 and 416.912 because one 
regulation requires an ALJ to ``accept[] as evidence any documents that 
are material to the issues'' while the other regulation requires a 
claimant to submit evidence that ``relates to whether or not you are 
blind or disabled.''
    Response: A claimant continues to have a duty to submit all 
evidence that relates to whether or not he or she is blind or disabled, 
subject to our other requirements, at the hearing and Appeals Council 
levels of the administrative process. Whereas 20 CFR 404.1512 and 
416.912 explain a claimant's responsibility, 20 CFR 404.944(a)(1) and 
416.1444(a)(1) address actions an administrative law judge will take. 
We expect claimants to submit evidence that relates to whether they are 
blind or disabled, but our administrative law judges are responsible 
for making the legal judgment determination whether evidence is 
``material to the issues.''

Regulatory Procedures

Executive Order 12866, as Supplemented by Executive Order 13563

    We consulted with the Office of Management and Budget (OMB) and 
determined that this final rule meets the criteria for a significant 
regulatory action under Executive Order 12866, as supplemented by 
Executive Order 13563. Therefore, OMB reviewed it.

Regulatory Flexibility Act

    We certify that this final rule would not have a significant 
economic impact on a substantial number of small entities because it 
affects individuals only. Therefore, a regulatory flexibility analysis 
is not required under the Regulatory Flexibility Act, as amended.

Paperwork Reduction Act

    These final rules contain reporting requirements in regulation 
sections Sec. Sec.  404.968, 404.976, 416.1468, and 416.1476 that 
require OMB clearance under the Paperwork Reduction Act of 1995 (PRA). 
SSA will submit separate information collection requests to OMB in the 
future for these regulations sections. We will not collect the 
information referenced in these burden sections until we receive OMB 
approval.

(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; and 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).

20 CFR Part 416

    Administrative practice and procedure; Aged, Blind, Disability 
benefits, Public assistance programs; Reporting and recordkeeping 
requirements; Supplemental Security Income (SSI).

Carolyn W. Colvin,
Acting Commissioner of Social Security.

    For the reasons set out in the preamble, we amend 20 CFR chapter 
III, parts 404, 405, and 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. In Sec.  404.900, revise the second sentence of paragraph (b) to 
read as follows:


Sec.  404.900   Introduction.

* * * * *
    (b) * * * Subject to certain timeframes at the hearing level (see 
Sec.  404.935) and the limitations on Appeals Council consideration of 
additional evidence (see Sec.  404.970), we will consider at each step 
of the review process any information you present as well as all the 
information in our records.* * *

0
 3. Revise the fifth and eighth sentences in Sec.  404.929 to read as 
follows:


Sec.  404.929  Hearing before an administrative law judge-general.

    * * * You may submit new evidence (subject to the provisions of 
Sec.  404.935), examine the evidence used in making the determination 
or decision under review, and present and question witnesses. * * * If 
you waive your right to appear at the hearing, in person, by video 
teleconferencing, or by telephone, the administrative law judge will 
make a decision based on the preponderance of the evidence that is in 
the file and, subject to the provisions of Sec.  404.935,

[[Page 90993]]

any new evidence that may have been submitted for consideration.* * *

0
4. Revise Sec.  404.935 to read as follows:


Sec.  404.935  Submitting written evidence to an administrative law 
judge.

    (a) When you submit your request for hearing, you should also 
submit information or evidence as required by Sec.  404.1512 or any 
summary of the evidence to the administrative law judge. Each party 
must make every effort to ensure that the administrative law judge 
receives all of the evidence and must inform us about or submit any 
written evidence, as required in Sec.  404.1512, no later than 5 
business days before the date of the scheduled hearing. If you do not 
comply with this requirement, the administrative law judge may decline 
to consider or obtain the evidence, unless the circumstances described 
in paragraph (b) of this section apply.
    (b) If you have evidence required under Sec.  404.1512 but you have 
missed the deadline described in paragraph (a) of this section, the 
administrative law judge will accept the evidence if he or she has not 
yet issued a decision and you did not inform us about or submit the 
evidence before the deadline because:
    (1) Our action misled you;
    (2) You had a physical, mental, educational, or linguistic 
limitation(s) that prevented you from informing us about or submitting 
the evidence earlier; or
    (3) Some other unusual, unexpected, or unavoidable circumstance 
beyond your control prevented you from informing us about or submitting 
the evidence earlier. Examples include, but are not limited to:
    (i) You were seriously ill, and your illness prevented you from 
contacting us in person, in writing, or through a friend, relative, or 
other person;
    (ii) There was a death or serious illness in your immediate family;
    (iii) Important records were destroyed or damaged by fire or other 
accidental cause; or
    (iv) You actively and diligently sought evidence from a source and 
the evidence was not received or was received less than 5 business days 
prior to the hearing.

0
 5. In Sec.  404.938, revise paragraphs (a) and (b) to read as follows:


Sec.  404.938  Notice of a hearing before an administrative law judge.

    (a) Issuing the notice. After we set the time and place of the 
hearing, we will mail notice of the hearing to you at your last known 
address, or give the notice to you by personal service, unless you have 
indicated in writing that you do not wish to receive this notice. We 
will mail or serve the notice at least 75 days before the date of the 
hearing.
    (b) Notice information. The notice of hearing will tell you:
    (1) The specific issues to be decided in your case;
    (2) That you may designate a person to represent you during the 
proceedings;
    (3) How to request that we change the time or place of your 
hearing;
    (4) That your hearing may be dismissed if neither you nor the 
person you designate to act as your representative appears at your 
scheduled hearing without good reason under Sec.  404.957;
    (5) Whether your appearance or that of any other party or witness 
is scheduled to be made in person, by video teleconferencing, or by 
telephone. If we have scheduled you to appear at the hearing by video 
teleconferencing, the notice of hearing will tell you that the 
scheduled place for the hearing is a video teleconferencing site and 
explain what it means to appear at your hearing by video 
teleconferencing;
    (6) That you must make every effort to inform us about or submit 
all written evidence that is not already in the record no later than 5 
business days before the date of the scheduled hearing, unless you show 
that your circumstances meet the conditions described in Sec.  
404.935(b); and
    (7) Any other information about the scheduling and conduct of your 
hearing.
* * * * *

0
6. Revise Sec.  404.939 to read as follows:


Sec.  404.939  Objections to the issues.

    If you object to the issues to be decided at the hearing, you must 
notify the administrative law judge in writing at the earliest possible 
opportunity, but no later than 5 business days before the date set for 
the hearing, unless you show that your circumstances meet the 
conditions described in Sec.  404.935(b). You must state the reason(s) 
for your objection(s). The administrative law judge will make a 
decision on your objection(s) either at the hearing or in writing 
before the hearing.

0
7. Revise Sec.  404.944 to read as follows:


Sec.  404.944  Administrative law judge hearing procedures--general.

    A hearing is open to the parties and to other persons the 
administrative law judge considers necessary and proper. At the 
hearing, the administrative law judge looks fully into the issues, 
questions you and the other witnesses, and, subject to the provisions 
of Sec.  404.935: Accepts as evidence any documents that are material 
to the issues; may stop the hearing temporarily and continue it at a 
later date if he or she finds that there is material evidence missing 
at the hearing; and may reopen the hearing at any time before he or she 
mails a notice of the decision in order to receive new and material 
evidence. The administrative law judge may decide when the evidence 
will be presented and when the issues will be discussed.

0
8. Revise Sec.  404.949 to read as follows:


Sec.  404.949  Presenting written statements and oral arguments.

    You or a person you designate to act as your representative may 
appear before the administrative law judge to state your case, present 
a written summary of your case, or enter written statements about the 
facts and law material to your case in the record. If presenting 
written statements prior to hearing, you must provide a copy of your 
written statements for each party no later than 5 business days before 
the date set for the hearing, unless you show that your circumstances 
meet the conditions described in Sec.  404.935(b).

0
9. In Sec.  404.950, revise paragraphs (c) and (d) to read as follows:


Sec.  404.950  Presenting evidence at a hearing before an 
administrative law judge.

* * * * *
    (c) Admissible evidence. Subject to the provisions of Sec.  
404.935, the administrative law judge may receive any evidence at the 
hearing that he or she believes is material to the issues, even though 
the evidence would not be admissible in court under the rules of 
evidence used by the court.
    (d) Subpoenas. (1) When it is reasonably necessary for the full 
presentation of a case, an administrative law judge or a member of the 
Appeals Council may, on his or her own initiative or at the request of 
a party, issue subpoenas for the appearance and testimony of witnesses 
and for the production of books, records, correspondence, papers, or 
other documents that are material to an issue at the hearing.
    (2) Parties to a hearing who wish to subpoena documents or 
witnesses must file a written request for the issuance of a subpoena 
with the administrative law judge or at one of our offices at least 10 
business days before the hearing date, unless you show that your 
circumstances meet the conditions described in Sec.  404.935(b). The 
written request must give the names of the witnesses or documents to be 
produced; describe the address or location of the witnesses or 
documents with sufficient detail to find them; state the important

[[Page 90994]]

facts that the witness or document is expected to prove; and indicate 
why these facts could not be proven without issuing a subpoena.
    (3) We will pay the cost of issuing the subpoena.
    (4) We will pay subpoenaed witnesses the same fees and mileage they 
would receive if they had been subpoenaed by a Federal district court.
* * * * *

0
10. Revise Sec.  404.951 to read as follows:


Sec.  404.951  Official record.

    (a) Hearing recording. All hearings will be recorded. The hearing 
recording will be prepared as a typed copy of the proceedings if--
    (1) The case is sent to the Appeals Council without a decision or 
with a recommended decision by the administrative law judge;
    (2) You seek judicial review of your case by filing an action in a 
Federal district court within the stated time period, unless we request 
the court to remand the case; or
    (3) An administrative law judge or the Appeals Council asks for a 
written record of the proceedings.
    (b) Contents of the official record. All evidence upon which the 
administrative law judge relies for the decision must be contained in 
the record, either directly or by appropriate reference. The official 
record will include the applications, written statements, certificates, 
reports, affidavits, medical records, and other documents that were 
used in making the decision under review and any additional evidence or 
written statements that the administrative law judge admits into the 
record under Sec. Sec.  404.929 and 404.935. All exhibits introduced as 
evidence must be marked for identification and incorporated into the 
record. The official record of your claim will contain all of the 
marked exhibits and a verbatim recording of all testimony offered at 
the hearing. It also will include any prior initial determinations or 
decisions on your claim.

0
11. In Sec.  404.968, revise the second sentence of paragraph (a) 
introductory text to read as follows:


Sec.  404.968  How to request Appeals Council review.

    (a) * * * You should submit any evidence you wish to have 
considered by the Appeals Council with your request for review, and the 
Appeals Council will consider the evidence in accordance with Sec.  
404.970. * * *
* * * * *

0
12. Revise Sec.  404.970 to read as follows:


Sec.  404.970  Cases the Appeals Council will review.

    (a) The Appeals Council will review a case if--
    (1) There appears to be an abuse of discretion by the 
administrative law judge;
    (2) There is an error of law;
    (3) The action, findings or conclusions of the administrative law 
judge are not supported by substantial evidence;
    (4) There is a broad policy or procedural issue that may affect the 
general public interest; or
    (5) Subject to paragraph (b) of this section, the Appeals Council 
receives additional evidence that is new, material, and relates to the 
period on or before the date of the hearing decision, and there is a 
reasonable probability that the additional evidence would change the 
outcome of the decision.
    (b) The Appeals Council will only consider additional evidence 
under paragraph (a)(5) of this section if you show good cause for not 
informing us about or submitting the evidence as described in Sec.  
404.935 because:
    (1) Our action misled you;
    (2) You had a physical, mental, educational, or linguistic 
limitation(s) that prevented you from informing us about or submitting 
the evidence earlier; or
    (3) Some other unusual, unexpected, or unavoidable circumstance 
beyond your control prevented you from informing us about or submitting 
the evidence earlier. Examples include, but are not limited to:
    (i) You were seriously ill, and your illness prevented you from 
contacting us in person, in writing, or through a friend, relative, or 
other person;
    (ii) There was a death or serious illness in your immediate family;
    (iii) Important records were destroyed or damaged by fire or other 
accidental cause;
    (iv) You actively and diligently sought evidence from a source and 
the evidence was not received or was received less than 5 business days 
prior to the hearing; or
    (v) You received a hearing level decision on the record and the 
Appeals Council reviewed your decision.
    (c) If you submit additional evidence that does not relate to the 
period on or before the date of the administrative law judge hearing 
decision as required in paragraph (a)(5) of this section, or the 
Appeals Council does not find you had good cause for missing the 
deadline to submit the evidence in Sec.  [thinsp]404.935, the Appeals 
Council will send you a notice that explains why it did not accept the 
additional evidence and advises you of your right to file a new 
application. The notice will also advise you that if you file a new 
application within 6 months after the date of the Appeals Council's 
notice, your request for review will constitute a written statement 
indicating an intent to claim benefits under Sec.  [thinsp]404.630. If 
you file a new application within 6 months of the Appeals Council's 
notice, we will use the date you requested Appeals Council review as 
the filing date for your new application.

0
13. Revise Sec.  404.976 to read as follows:


Sec.  404.976  Procedures before the Appeals Council on review.

    (a) Limitation of issues. The Appeals Council may limit the issues 
it considers if it notifies you and the other parties of the issues it 
will review.
    (b) Oral argument. You may request to appear before the Appeals 
Council to present oral argument. The Appeals Council will grant your 
request if it decides that your case raises an important question of 
law or policy or that oral argument would help to reach a proper 
decision. If your request to appear is granted, the Appeals Council 
will tell you the time and place of the oral argument at least 10 
business days before the scheduled date. The Appeals Council will 
determine whether your appearance, or the appearance of any other 
person relevant to the proceeding, will be in person, by video 
teleconferencing, or by telephone.


Sec.  404.979   [Amended]

0
14. Revise the first sentence of Sec.  404.979 to read as follows:
    After it has reviewed all the evidence in the administrative law 
judge hearing record and any additional evidence received, subject to 
the limitations on Appeals Council consideration of additional evidence 
in Sec.  404.970, the Appeals Council will make a decision or remand 
the case to an administrative law judge. * * *

PART 405--[REMOVED AND RESERVED]

0
15. Under the authority of sections 205(a), 702(a)(5), and 1631(d)(1) 
of the Social Security Act, part 405 is removed and reserved.

[[Page 90995]]

PART 416--SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND 
DISABLED

Subpart N--Determinations, Administrative Review Process, and 
Reopening of Determinations and Decisions

0
16. 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
 17. In Sec.  416.1400, revise the second sentence of paragraph (b) to 
read as follows:


Sec.  416.1400   Introduction.

* * * * *
    (b) * * * Subject to certain timeframes at the hearing level (see 
Sec.  416.1435) and the limitations on Appeals Council consideration of 
additional evidence (see Sec.  416.1470), we will consider at each step 
of the review process any information you present as well as all the 
information in our records.* * *

0
18. Revise the fifth and eighth sentences of Sec.  416.1429 to read as 
follows:


Sec.  416.1429  Hearing before an administrative law judge-general.

    * * * You may submit new evidence (subject to the provisions of 
Sec.  416.1435), examine the evidence used in making the determination 
or decision under review, and present and question witnesses. * * * If 
you waive your right to appear at the hearing, in person, by video 
teleconferencing, or by telephone, the administrative law judge will 
make a decision based on the preponderance of the evidence that is in 
the file and, subject to the provisions of Sec.  416.1435, any new 
evidence that may have been submitted for consideration.* * *

0
19. Revise Sec.  416.1435 to read as follows:


Sec.  416.1435  Submitting written evidence to an administrative law 
judge.

    (a) When you submit your request for hearing, you should also 
submit information or evidence as required by Sec.  416.912 or any 
summary of the evidence to the administrative law judge. Each party 
must make every effort to ensure that the administrative law judge 
receives all of the evidence and must inform us about or submit any 
written evidence, as required in Sec.  416.912, no later than 5 
business days before the date of the scheduled hearing. If you do not 
comply with this requirement, the administrative law judge may decline 
to consider or obtain the evidence unless the circumstances described 
in paragraph (b) of this section apply.
    (b) If you have evidence required under Sec.  416.912 but you have 
missed the deadline described in paragraph (a) of this section, the 
administrative law judge will accept the evidence if he or she has not 
yet issued a decision and you did not inform us about or submit the 
evidence before the deadline because:
    (1) Our action misled you;
    (2) You had a physical, mental, educational, or linguistic 
limitation(s) that prevented you from informing us about or submitting 
the evidence earlier; or
    (3) Some other unusual, unexpected, or unavoidable circumstance 
beyond your control prevented you from informing us about or submitting 
the evidence earlier. Examples include, but are not limited to:
    (i) You were seriously ill, and your illness prevented you from 
contacting us in person, in writing, or through a friend, relative, or 
other person;
    (ii) There was a death or serious illness in your immediate family;
    (iii) Important records were destroyed or damaged by fire or other 
accidental cause; or
    (iv) You actively and diligently sought evidence from a source and 
the evidence was not received or was received less than 5 business days 
prior to the hearing.
    (c) Claims Not Based on an Application For Benefits. 
Notwithstanding the requirements in paragraphs (a)-(b) of this section, 
for claims that are not based on an application for benefits, the 
evidentiary requirement to inform us about or submit evidence no later 
than 5 business days before the date of the scheduled hearing will not 
apply if our other regulations allow you to submit evidence after the 
date of an administrative law judge decision.

0
 20. In Sec.  416.1438, revise paragraphs (a) and (b) to read as 
follows:


Sec.  416.1438  Notice of a hearing before an administrative law judge.

    (a) Issuing the notice. After we set the time and place of the 
hearing, we will mail notice of the hearing to you at your last known 
address, or give the notice to you by personal service, unless you have 
indicated in writing that you do not wish to receive this notice. We 
will mail or serve the notice at least 75 days before the date of the 
hearing.
    (b) Notice information. The notice of hearing will tell you:
    (1) The specific issues to be decided in your case;
    (2) That you may designate a person to represent you during the 
proceedings;
    (3) How to request that we change the time or place of your 
hearing;
    (4) That your hearing may be dismissed if neither you nor the 
person you designate to act as your representative appears at your 
scheduled hearing without good reason under Sec.  416.1457;
    (5) Whether your appearance or that of any other party or witness 
is scheduled to be made in person, by video teleconferencing, or by 
telephone. If we have scheduled you to appear at the hearing by video 
teleconferencing, the notice of hearing will tell you that the 
scheduled place for the hearing is a video teleconferencing site and 
explain what it means to appear at your hearing by video 
teleconferencing;
    (6) That you must make every effort to inform us about or submit 
all written evidence that is not already in the record no later than 5 
business days before the date of the scheduled hearing, unless you show 
that your circumstances meet the conditions described in Sec.  
416.1435(b); and
    (7) Any other information about the scheduling and conduct of your 
hearing.
* * * * *

0
21. Revise Sec.  416.1439 to read as follows:


Sec.  416.1439  Objections to the issues.

    If you object to the issues to be decided at the hearing, you must 
notify the administrative law judge in writing at the earliest possible 
opportunity, but no later than 5 business days before the date set for 
the hearing, unless you show that your circumstances meet the 
conditions described in Sec.  416.1435(b). You must state the reason(s) 
for your objection(s). The administrative law judge will make a 
decision on your objection(s) either at the hearing or in writing 
before the hearing.

0
22. Revise Sec.  416.1444 to read as follows:


Sec.  416.1444  Administrative law judge hearing procedures--general.

    A hearing is open to the parties and to other persons the 
administrative law judge considers necessary and proper. At the 
hearing, the administrative law judge looks fully into the issues, 
questions you and the other witnesses, and, subject to the provisions 
of Sec.  [thinsp]416.1435: Accepts as evidence any documents that are 
material to the issues; may stop the hearing temporarily and continue 
it at a later date if he or she finds that there is material evidence 
missing at the hearing; and may reopen the hearing at any time before 
he or she mails a notice of the decision in order

[[Page 90996]]

to receive new and material evidence. The administrative law judge may 
decide when the evidence will be presented and when the issues will be 
discussed.

0
23. Revise Sec.  416.1449 to read as follows:


Sec.  416.1449  Presenting written statements and oral arguments.

    You or a person you designate to act as your representative may 
appear before the administrative law judge to state your case, present 
a written summary of your case, or enter written statements about the 
facts and law material to your case in the record. If presenting 
written statements prior to hearing, you must provide a copy of your 
written statements for each party no later than 5 business days before 
the date set for the hearing, unless you show that your circumstances 
meet the conditions described in Sec.  416.1435(b).

0
24. In Sec.  416.1450, revise paragraphs (c) and (d) to read as 
follows:


Sec.  416.1450  Presenting evidence at a hearing before an 
administrative law judge.

* * * * *
    (c) Admissible evidence. Subject to the provisions of Sec.  
416.1435, the administrative law judge may receive any evidence at the 
hearing that he or she believes is material to the issues, even though 
the evidence would not be admissible in court under the rules of 
evidence used by the court.
    (d) Subpoenas. (1) When it is reasonably necessary for the full 
presentation of a case, an administrative law judge or a member of the 
Appeals Council may, on his or her own initiative or at the request of 
a party, issue subpoenas for the appearance and testimony of witnesses 
and for the production of books, records, correspondence, papers, or 
other documents that are material to an issue at the hearing.
    (2) Parties to a hearing who wish to subpoena documents or 
witnesses must file a written request for the issuance of a subpoena 
with the administrative law judge or at one of our offices at least 10 
business days before the hearing date, unless you show that your 
circumstances meet the conditions described in Sec.  416.1435(b). The 
written request must give the names of the witnesses or documents to be 
produced; describe the address or location of the witnesses or 
documents with sufficient detail to find them; state the important 
facts that the witness or document is expected to prove; and indicate 
why these facts could not be proven without issuing a subpoena.
    (3) We will pay the cost of issuing the subpoena.
    (4) We will pay subpoenaed witnesses the same fees and mileage they 
would receive if they had been subpoenaed by a Federal district court.
* * * * *

0
25. Revise Sec.  416.1451 to read as follows:


Sec.  416.1451  Official record.

    (a) Hearing recording. All hearings will be recorded. The hearing 
recording will be prepared as a typed copy of the proceedings if--
    (1) The case is sent to the Appeals Council without a decision or 
with a recommended decision by the administrative law judge;
    (2) You seek judicial review of your case by filing an action in a 
Federal district court within the stated time period, unless we request 
the court to remand the case; or
    (3) An administrative law judge or the Appeals Council asks for a 
written record of the proceedings.
    (b) Contents of the official record. All evidence upon which the 
administrative law judge relies for the decision must be contained in 
the record, either directly or by appropriate reference. The official 
record will include the applications, written statements, certificates, 
reports, affidavits, medical records, and other documents that were 
used in making the decision under review and any additional evidence or 
written statements that the administrative law judge admits into the 
record under Sec. Sec.  416.1429 and 416.1435. All exhibits introduced 
as evidence must be marked for identification and incorporated into the 
record. The official record of your claim will contain all of the 
marked exhibits and a verbatim recording of all testimony offered at 
the hearing. It also will include any prior initial determinations or 
decisions on your claim.

0
26. In Sec.  416.1468, revise the second sentence of paragraph (a) 
introductory text to read as follows:


Sec.  416.1468   How to request Appeals Council review.

    (a) * * * You should submit any evidence you wish to have 
considered by the Appeals Council with your request for review, and the 
Appeals Council will consider the evidence in accordance with Sec.  
416.1470. * * *

0
27. Revise Sec.  416.1470 to read as follows:


Sec.  416.1470  Cases the Appeals Council will review.

    (a) The Appeals Council will review a case if--
    (1) There appears to be an abuse of discretion by the 
administrative law judge;
    (2) There is an error of law;
    (3) The action, findings or conclusions of the administrative law 
judge are not supported by substantial evidence;
    (4) There is a broad policy or procedural issue that may affect the 
general public interest; or
    (5) Subject to paragraph (b) of this section, the Appeals Council 
receives additional evidence that is new, material, and relates to the 
period on or before the date of the hearing decision, and there is a 
reasonable probability that the additional evidence would change the 
outcome of the decision.
    (b) In reviewing decisions other than those based on an application 
for benefits, the Appeals Council will consider the evidence in the 
administrative law judge hearing record and any additional evidence it 
believes is material to an issue being considered. However, in 
reviewing decisions based on an application for benefits, the Appeals 
Council will only consider additional evidence under paragraph (a)(5) 
of this section if you show good cause for not informing us about or 
submitting the evidence as described in Sec.  416.1435 because:
    (1) Our action misled you;
    (2) You had a physical, mental, educational, or linguistic 
limitation(s) that prevented you from informing us about or submitting 
the evidence earlier; or
    (3) Some other unusual, unexpected, or unavoidable circumstance 
beyond your control prevented you from informing us about or submitting 
the evidence earlier. Examples include, but are not limited to:
    (i) You were seriously ill, and your illness prevented you from 
contacting us in person, in writing, or through a friend, relative, or 
other person;
    (ii) There was a death or serious illness in your immediate family;
    (iii) Important records were destroyed or damaged by fire or other 
accidental cause;
    (iv) You actively and diligently sought evidence from a source and 
the evidence was not received or was received less than 5 business days 
prior to the hearing; or
    (v) You received a hearing level decision on the record and the 
Appeals Council reviewed your decision.
    (c) If you submit additional evidence that does not relate to the 
period on or before the date of the administrative law judge hearing 
decision as required in paragraph (a)(5) of this section, or the 
Appeals Council does not find you had

[[Page 90997]]

good cause for missing the deadline to submit the evidence in Sec.  
[thinsp]416.1435, the Appeals Council will send you a notice that 
explains why it did not accept the additional evidence and advises you 
of your right to file a new application. The notice will also advise 
you that if you file a new application within 60 days after the date of 
the Appeals Council's notice, your request for review will constitute a 
written statement indicating an intent to claim benefits under Sec.  
[thinsp]416.340. If you file a new application within 60 days of the 
Appeals Council's notice, we will use the date you requested Appeals 
Council review as the filing date for your new application.

0
28. Revise Sec.  416.1476 to read as follows:


Sec.  416.1476  Procedures before the Appeals Council on review.

    (a) Limitation of issues. The Appeals Council may limit the issues 
it considers if it notifies you and the other parties of the issues it 
will review.
    (b) Oral argument. You may request to appear before the Appeals 
Council to present oral argument. The Appeals Council will grant your 
request if it decides that your case raises an important question of 
law or policy or that oral argument would help to reach a proper 
decision. If your request to appear is granted, the Appeals Council 
will tell you the time and place of the oral argument at least 10 
business days before the scheduled date. The Appeals Council will 
determine whether your appearance, or the appearance of any other 
person relevant to the proceeding, will be in person, by video 
teleconferencing, or by telephone.


Sec.  416.1479   [Amended]

0
29. Revise the first sentence of Sec.  416.1479 to read as follows:
    After it has reviewed all the evidence in the administrative law 
judge hearing record and any additional evidence received, subject to 
the limitations on Appeals Council consideration of additional evidence 
in Sec.  416.1470, the Appeals Council will make a decision or remand 
the case to an administrative law judge. * * *

[FR Doc. 2016-30103 Filed 12-15-16; 8:45 am]
 BILLING CODE 4191-02-P



                                                                    Federal Register / Vol. 81, No. 242 / Friday, December 16, 2016 / Rules and Regulations                                           90987

                                                    a.44. Sabia virus;                                       a.1. Complete containment facilities at P3          Operations, Social Security
                                                    a.45. Seoul virus;                                     or P4 containment level.                              Administration, 5107 Leesburg Pike,
                                                    a.46. Severe acute respiratory syndrome-                 Technical Note: P3 or P4 (BL3, BL4, L3,             Falls Church, VA 22041, (703) 605–
                                                  related coronavirus (SARS-related                        L4) containment levels are as specified in the        7100. For information on eligibility or
                                                  coronavirus);                                            WHO Laboratory Biosafety Manual (3rd
                                                    a.47. Sheeppox virus;
                                                                                                                                                                 filing for benefits, call our national toll-
                                                                                                           edition, Geneva, 2004).
                                                    a.48. Sin Nombre virus;                                                                                      free number, 1–800–772–1213 or TTY
                                                                                                             a.2. Equipment designed for fixed                   1–800–325–0778, or visit our Internet
                                                    a.49. St. Louis encephalitis virus;                    installation in containment facilities
                                                    a.50. Suid herpesvirus 1 (Pseudorabies                                                                       site, Social Security Online, at http://
                                                                                                           specified in paragraph a.1 of this ECCN, as
                                                  virus; Aujeszky’s disease);                              follows:
                                                                                                                                                                 www.socialsecurity.gov.
                                                    a.51. Swine vesicular disease virus;                     a.2.a. Double-door pass-through                     SUPPLEMENTARY INFORMATION
                                                    a.52. Tick-borne encephalitis virus (Far               decontamination autoclaves;
                                                  Eastern subtype, formerly known as Russian                 a.2.b. Breathing air suit decontamination           Background
                                                  Spring-Summer encephalitis virus—see                     showers;
                                                  1C351.b.3 for Siberian subtype);                                                                                  We are revising and making final the
                                                                                                             a.2.c. Mechanical-seal or inflatable-seal           rules for creating nationally uniform
                                                    a.53. Variola virus;                                   walkthrough doors.
                                                    a.54. Venezuelan equine encephalitis virus;              b. * * *                                            hearing and Appeals Council
                                                    a.55. Vesicular stomatitis virus;                        b.1. Fermenters capable of cultivation of           procedures, which we proposed in a
                                                    a.56. Western equine encephalitis virus; or            micro-organisms or of live cells for the              notice of proposed rulemaking (NPRM)
                                                    a.57. Yellow fever virus.                              production of viruses or toxins, without the          published in the Federal Register on
                                                    b. * * *                                               propagation of aerosols, having a capacity of         July 12, 2016 (81 FR 45079). In the
                                                    b.3. Tick-borne encephalitis virus (Siberian           20 liters or greater.                                 preamble to the NPRM, we discussed
                                                  subtype, formerly West Siberian virus—see                *      *      *      *       *                        the changes we proposed from our
                                                  1C351.a.52 for Far Eastern subtype).                       d. * * *
                                                    c. * * *                                                                                                     current rules and our reasons for
                                                                                                             d.1. Cross (tangential) flow filtration             proposing those changes. In the NPRM,
                                                    c.7. Chlamydia psittaci (Chlamydophila                 equipment capable of separation of
                                                  psittaci);                                                                                                     we proposed revisions to: (1) The time
                                                                                                           microorganisms, viruses, toxins or cell
                                                  *      *      *       *      *                           cultures having all of the following                  frame for notifying claimants of a
                                                    c.18. Salmonella enterica subspecies                   characteristics:                                      hearing date; (2) the information in our
                                                  enterica serovar Typhi (Salmonella typhi);               *      *      *      *       *                        hearing notices; (3) the period when we
                                                    c.19. * * *                                              N.B.: 2B352.d.1 does not control reverse            require claimants to inform us about or
                                                    Note: Shiga toxin producing Escherichia                osmosis and hemodialysis equipment, as                submit written evidence, written
                                                  coli (STEC) includes, inter alia,                        specified by the manufacturer.                        statements, objections to the issues, and
                                                  enterohaemorrhagic E. coli (EHEC), verotoxin                                                                   subpoena requests; (4) what constitutes
                                                  producing E. coli (VTEC) or verocytotoxin                *      *      *      *       *
                                                                                                                                                                 the official record; and (5) the manner
                                                  producing E. coli (VTEC).                                  Dated: December 7, 2016.                            in which the Appeals Council would
                                                  *      *      *       *      *                           Kevin J. Wolf,                                        consider additional evidence.
                                                      d. * * *                                             Assistant Secretary for Export                           As we explained in the preamble to
                                                      d.6. Conotoxins;                                     Administration.                                       our NPRM, we proposed these changes
                                                      d.7. Diacetoxyscirpenol;
                                                      d.8. * * *
                                                                                                           [FR Doc. 2016–30099 Filed 12–15–16; 8:45 am]          to ensure national consistency in our
                                                      d.9. Microcystins (Cyanginosins);                    BILLING CODE 3510–33–P                                policy and procedures and improve
                                                      d.10. Modeccin;                                                                                            accuracy and efficiency in our
                                                  *      *      *       *      *                                                                                 administrative review process. We
                                                    d.13. Shiga toxins (shiga-like toxins,                 SOCIAL SECURITY ADMINISTRATION                        expect this final rule will positively
                                                  verotoxins, and verocytotoxins);                                                                               affect our ability to manage our
                                                                                                           20 CFR Parts 404, 405 and 416                         workloads and lead to better public
                                                  *      *      *       *      *
                                                      d.17. Viscumin (Viscum album lectin 1); or           [Docket No. SSA–2014–0052]                            service. Interested readers may refer to
                                                      d.18. Volkensin.                                                                                           the preamble to the NPRM, available at
                                                                                                           RIN 0960–AH71                                         http://www.regulations.gov under
                                                  *      *      *       *      *
                                                                                                                                                                 docket number SSA–2014–0052.
                                                                                                           Ensuring Program Uniformity at the
                                                  ■ 3. In Supplement No. 1 to Part 774                     Hearing and Appeals Council Levels of                 What changes are we making from the
                                                  (the Commerce Control List), Category                    the Administrative Review Process                     NPRM?
                                                  2—Materials Processing, ECCN 2B352 is
                                                  amended in the ‘‘Items’’ paragraph,                      AGENCY:     Social Security Administration.              We are making several changes in this
                                                  under the List of Items Controlled                       ACTION:    Final rule.                                final rule from the NPRM based on some
                                                  section, by revising paragraph a, by                                                                           of the public comments we received. We
                                                                                                           SUMMARY:   We are revising our rules so               briefly outline those changes here and
                                                  revising paragraph b.1, by revising the
                                                                                                           that more of our procedures at the                    provide additional detail on the changes
                                                  introductory text of paragraph d.1, and
                                                                                                           hearing and Appeals Council levels of                 in the comment and response section
                                                  by revising the nota bene to paragraph
                                                                                                           our administrative review process are                 that follows. We are also making minor
                                                  d.1, to read as follows:
                                                                                                           consistent nationwide. We anticipate                  editorial changes throughout this final
                                                  2B352 Equipment capable of use in                        that these nationally consistent                      rule. For the reader’s ease of review, we
                                                     handling biological materials, as follows             procedures will enable us to administer
                                                     (see List of Items Controlled).
                                                                                                                                                                 refer to the general requirement that all
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                                                                                                           our disability programs more efficiently              evidence, objections, or written
                                                  *      *      *       *      *                           and better serve the public.                          statements be submitted at least 5
                                                  List of Items Controlled                                 DATES: This final rule will be effective              business days before the date of the
                                                  Related Controls: * * *                                  on January 17, 2017. However,                         hearing as the ‘‘5-day requirement.’’ We
                                                  Related Definition: * * *                                compliance is not required until May 1,               adopted the following changes from our
                                                  Items:                                                   2017.                                                 NPRM in this final rule:
                                                     a. Containment facilities and related                 FOR FURTHER INFORMATION CONTACT:                         • We lengthened the time frame for
                                                  equipment, as follows:                                   Patrick McGuire, Office of Appellate                  notifying claimants of a hearing date in


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                                                  90988            Federal Register / Vol. 81, No. 242 / Friday, December 16, 2016 / Rules and Regulations

                                                  20 CFR 404.938 and 416.1438 from at                     comments and, where appropriate,                      rules we have been applying in the
                                                  least 60 days to at least 75 days;                      made changes in response to these                     Boston region since 2006.
                                                     • In 20 CFR 404.935(b)(3)(iv) and                    comments.                                               Some commenters requested that we
                                                  416.1435(b)(3)(iv), we removed the                        Below, we summarize and respond to                  extend the advance notice period to 90
                                                  phrase ‘‘through no fault of your own’’                 the comments submitted on the                         or 120 days instead of the proposed 60-
                                                  to reduce the evidentiary burden on                     proposed rule, and respond to the                     days advance notice. We have decided
                                                  claimants who are unable to provide                     significant issues relevant to this                   not to extend the advance notice period
                                                  evidence;                                               rulemaking. We do not respond to                      to 90 or 120 days, because providing a
                                                     • We clarified that the circumstances                comments that are outside the scope of                hearing date this far in advance would
                                                  set forth in 20 CFR 404.935(b)(3)(i) to                 this rulemaking proceeding.                           increase the likelihood that an
                                                  (b)(3)(iv) and 416.1435(b)(3)(i) to                                                                           adjudicator’s schedule will change by
                                                                                                          Hearing Notice Requirement
                                                  (b)(3)(iv) are merely examples and do                                                                         the scheduled hearing date. Moreover,
                                                  not constitute an exhaustive list;                         Comment: Several commenters                        in contrast to the 75-day period, we
                                                     • We added the same exceptions to                    supported our proposal to provide more                have no current model to support the
                                                  the 5-day requirement that we proposed                  advance notice of a hearing, but asked                use of a longer time period.
                                                  for the submission of evidence in 20                    that we adopt the 75-day advance notice
                                                                                                          requirement currently in place in the                 Exceptions to the 5-Day Requirement
                                                  CFR 404.935 and 416.1435 to the
                                                  deadlines related to objecting to the                   Boston region, rather than the 60-day                    Comment: Several commenters asked
                                                  issues (20 CFR 404.939 and 416.1439),                   advance notice we proposed in the                     that we retain the exception in 20 CFR
                                                  presenting written statements (20 CFR                   NPRM. Several of the commenters                       404.935(b)(3)(iv) in the final rule
                                                  404.949 and 416.1449), and submitting                   stated that earlier notice would allow                because it recognized the difficulties of
                                                  subpoenas (20 CFR 404.950(d)(2) and                     claimants to: (1) Obtain and submit the               obtaining medical evidence, while
                                                  416.1450(d)(2));                                        information and evidence, especially                  another commenter suggested we
                                                     • We added language to 20 CFR                        when a medical provider is                            eliminate this exception because it was
                                                  404.949 and 416.1449 to clarify that the                uncooperative; (2) make arrangements                  vague and contrary to the intent and
                                                  5-day requirement applies only to pre-                  for transportation to the hearing; (3) take           purpose of the proposed rule. Several
                                                  hearing written statements, not to post-                into account time frames under the                    commenters expressed concerns about
                                                  hearing written statements;                             regulations implementing the Health                   our exceptions to the 5-day requirement
                                                     • We added an example of an                          Insurance Portability and                             because they were too narrowly defined,
                                                  exception for submitting additional                     Accountability Act (HIPAA) that                       too subjective, and would increase our
                                                  evidence to the Appeals Council in 20                   provide an entity up to 60 days before                workloads. Other commenters suggested
                                                  CFR 404.970(b)(3)(v) and                                it must produce records (45 CFR                       that we add additional exceptions, such
                                                  416.1470(b)(3)(v);                                      164.524(b)); and (4) avoid a                          as when the claimant is homeless or
                                                     • We reorganized paragraphs (a)(5)                   postponement of hearing due to non-                   lacks representation. One commenter
                                                  and (b) of 20 CFR 404.970 and 416.1470;                 receipt of medical records. Several other             requested that the Appeals Council also
                                                     • We removed proposed subsection                     commenters said that even a 75-day                    find good cause for submitting evidence
                                                  20 CFR 404.970(d) and 416.1470(d);                      notice requirement is insufficient, and               after the 5-day requirement if the
                                                     • We added clarifying cross-                         that we should provide notice 90 to 120               claimant was unrepresented or
                                                  references to 20 CFR 404.900 and                        days in advance of a hearing.                         homeless at the hearing level.
                                                  416.1400 and 20 CFR 404.929 and                            Response: We recognize that                           Response: We provide examples of
                                                  416.1429 to place the 5-day requirement                 claimants and representatives may                     exceptions to the 5-day requirement in
                                                  in 20 CFR 404.935 and 416.1435 in                       sometimes face challenges in acquiring                final 20 CFR 404.935(b)(3) and
                                                  context; and,                                           medical records. In response to multiple              416.1435(b)(3) and have clarified that
                                                     • We broadened the existing cross-                   advocate comments indicating a                        we did not intend for them to be all-
                                                  reference in 20 CFR 404.968 and                         preference for 75 days’ advance notice                inclusive or to exclude other
                                                  416.1468 and 20 CFR 404.979 and                         of a hearing instead of 60 days, we are               extenuating circumstances that may
                                                  416.1479 to reference the entire section                revising the final rule to provide 75                 result in a claimant being unable to
                                                  of 20 CFR 404.970 and 416.1470, and                     days’ advance notice. Since we already                meet the 5-day requirement. To clarify
                                                  we removed the cross reference to 20                    have approximately a decade of                        this point, we changed the regulatory
                                                  CFR 404.976 and 416.1476 in 20 CFR                      experience in using the 75-day advance                text to state that ‘‘[e]xamples include,
                                                  404.979 and 416.1479.                                   notice period in the Boston Region, we                but are not limited to’’ the outlined
                                                                                                          believe its expansion nationwide is                   exceptions. Because circumstances vary,
                                                  Public Comments                                         justified.                                            we determine whether a claimant
                                                    We initially provided a 30-day                           We proposed a 60-day period in our                 qualifies for an exception on a case-by-
                                                  comment period that would have ended                    NPRM because we believed it would                     case basis.
                                                  on August 11, 2016. We subsequently                     promote the efficiency of our hearing                    We do not anticipate that evaluating
                                                  extended the comment period for an                      process (81 FR at 45081). However, we                 requests for exceptions to the 5-day
                                                  additional 15 days, until August 26,                    recognize the concerns that that                      requirement will increase our
                                                  2016 (81 FR 51412). We received 154                     commenters raised, including stated                   workloads. We recognize that
                                                  comments on our proposed rule from                      concerns about the adequacy of a 60-day               compliance with the 5-day requirement
                                                  the public, interested advocacy groups,                 advance notice requirement in light of                will not be possible in all situations;
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                                                  and several members of Congress. We                     the timeframe an entity has to provide                however, based on our experience in the
                                                  did not consider six comments because                   evidence to an individual under the                   Boston region, we expect that providing
                                                  they either came from employees who                     HIPAA regulations. In order to                        at least 75 days’ advance notice of a
                                                  commented in their official employment                  minimize the burden on claimants, we                  hearing will significantly increase the
                                                  capacity, which is a violation of our                   have decided to adopt the commenters’                 number of times evidence is obtained
                                                  policy, or they were outside the scope                  suggestion that we continue to provide                and submitted at least 5 business days
                                                  of this rulemaking. We published and                    at least 75-day advance notice of a                   before the hearing. We also note that in
                                                  carefully considered the remaining 148                  hearing, as we have done under the                    our experience the need to evaluate


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                                                                   Federal Register / Vol. 81, No. 242 / Friday, December 16, 2016 / Rules and Regulations                                                   90989

                                                  requests to submit evidence pursuant to                 authority and was inconsistent with the               has been explicitly set forth in our sub-
                                                  one of the exceptions has not caused                    Administrative Procedure Act. Other                   regulatory instructions.
                                                  workload spikes in our Boston region,                   commenters stated that we did not                        Because most claimants are
                                                  where a 5-day requirement has been in                   provide an adequate explanation of the                represented at the hearing level, and
                                                  place for more than a decade. When a                    authority for such hearings.                          because we are providing more advance
                                                  claimant or appointed representative is                   Response: Since the beginning of our                notice of a hearing than we have in the
                                                  aware that he or she will need more                     hearing process in 1940, our regulations              past, we expect to significantly reduce
                                                  time to submit evidence in accordance                   (currently found in sections 20 CFR                   the number of postponed hearings or
                                                  with one of the exceptions, we expect                   404.956 and 416.1456) have authorized                 supplemental hearings needed based on
                                                  that he or she will provide us with the                 the Appeals Council to remove a                       evidence that was available at least 5
                                                  necessary information in advance. To do                 hearing request from an ALJ and                       business days before the hearing.
                                                  so, the claimant or representative                      conduct the hearing proceedings, using                   In our experience, the vast majority of
                                                  should notify the administrative law                    the rules that ALJs apply. We proposed                representatives act ethically in regard to
                                                  judge (ALJ) of what the evidence                        to revise sections 20 CFR 404.970 and                 evidence development and make good
                                                  generally consists of and the expected                  416.1470 to clarify the Appeals                       faith efforts to assist claimants in
                                                  volume of evidence (e.g., one visit to a                Council’s authority in this area.                     obtaining and submitting the required
                                                  treating physician or a one-week                        Although we disagree with some of the                 evidence before a hearing, as required
                                                  hospital stay). When the claimant or his                comments, including concerns that the                 under 20 CFR 404.1740(b)(2) and
                                                  or her representative timely provides                   proposal lacked legal support, we                     416.1540(b)(2). Therefore, we do not
                                                  this information to the ALJ, we expect                  understand the concerns the                           expect the ‘‘inform’’ option to
                                                  that evaluating the request for an                      commenters raised regarding this                      significantly affect our administrative
                                                  exception will likely be very simple.                   proposal. As a result, we have decided                processes.
                                                     The fact that a claimant is homeless                 to remove the rule we proposed in                        In those circumstances in which
                                                  or lacks representation does not                        subsections 404.970(d) and 416.1470(d).               hearing offices assist unrepresented
                                                  automatically excuse him or her from                    The Appeals Council will continue to                  claimants in developing evidence, our
                                                  complying with our rules. However,                      exercise its authority to develop                     sub-regulatory instructions will clarify
                                                  situations such as these may result in                  evidence in accordance with 20 CFR                    that employees in our hearing offices
                                                  circumstances that warrant an exception                 404.976(b) and 416.1446(b).                           should undertake development as early
                                                  to the 5-day requirement. We will
                                                                                                                                                                as possible to reduce the number of
                                                  evaluate these circumstances carefully                  ‘‘Inform’’ Option
                                                                                                                                                                continuances or postponed hearings.
                                                  on a case-by-case basis under the
                                                                                                             Comment: Several commenters stated
                                                  exceptions described in the final rule.                                                                       5-Day Requirement
                                                     Comment: Commenters who                              the proposed rule may have unintended
                                                                                                          consequences because appointed                           Comment: Some commenters thought
                                                  represented advocacy groups noted that
                                                                                                          representatives may rely on the                       the 5-day requirement in the proposed
                                                  our proposed rule did not include
                                                                                                          ‘‘inform’’ option in 20 CFR 404.935 and               rules was inconsistent with our duty to
                                                  exceptions to deadline requirements for
                                                                                                          416.1435 and in 20 CFR 404.1512 and                   make eligibility decisions based on the
                                                  objecting to the issues (20 CFR 404.939
                                                  and 416.1439), presenting written                       416.912 to avoid developing evidence.                 evidence presented at the hearing.
                                                  statements (20 CFR 404.949 and                          A few commenters stated if we retain                     Response: In developing these rules,
                                                  416.1449), and submitting subpoenas                     the ‘‘inform’’ option, we should require              we were guided by the two principles
                                                  (20 CFR 404.950(d)(2) and                               the claimant to inform the hearing office             that we have always applied when we
                                                  416.950(d)(2)). Some commenters had                     earlier so there would be time to                     make decisions regarding our programs:
                                                  concerns that the 5-day requirement, as                 develop the evidence and avoid                        As the Supreme Court has observed, the
                                                  applied to objections to the issues,                    unnecessary supplemental hearings.                    Social Security system ‘‘must be fair—
                                                  could force representatives to develop                     Response: On April 20, 2015, we                    and it must work.’’ 1 These final rules
                                                  boilerplate notices that list all possible              implemented a final rule that requires a              appropriately balance these two guiding
                                                  objections in every case.                               claimant to ‘‘inform us about or submit               principles. These rules are fair because
                                                     Response: We agree with the                          all evidence known to you that relates                they provide the claimant with more
                                                  commenters’ concerns, and we have                       to whether you are blind or disabled.’’               advance notice of his or her hearing,
                                                  added exceptions for the deadlines                      81 FR 14828. As we stated in the                      and they provide appropriate exceptions
                                                  related to objecting to the issues (20 CFR              preamble to that proposed rule, we                    to the 5-day requirement. At the same
                                                  404.939 and 416.1439), presenting                       specifically added this option because                time, the 5-day requirement promotes
                                                  written statements (20 CFR 404.949 and                  we did not intend to shift our burden to              the efficiency of our hearings process
                                                  416.1449), and submitting subpoenas                     develop the record to claimants. In the               and allows it to work more effectively
                                                  (20 CFR 404.950(d)(2) and                               proposed rule, as in this final rule, we              by ensuring that ALJs have a more
                                                  416.1450(d)(2)). The exceptions in 20                   recognize that some individuals, many                 complete evidentiary record when they
                                                  CFR 404.939 and 416.1439 should                         of whom do not have appointed                         hold hearings. Striking such a balance
                                                  eliminate the need for representatives to               representatives, require our assistance               in our rules is of paramount importance
                                                  develop boilerplate notices.                            in obtaining medical evidence needed to               to us. That balance would not be present
                                                                                                          adjudicate their claims. Claimants who                if, as some commenters suggested, we
                                                  Appeals Council Authority                               are unable to obtain evidence necessary               merely gave claimants more advance
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                                                    Comment: While one commenter                          to adjudicate their claims may inform us              notice of a hearing, without the 5-day
                                                  supported the proposal in subsections                   of this difficulty and we will continue               requirement. Conversely, that balance
                                                  20 CFR 404.970(d) and 416.1470(d) that                  to seek out evidence on their behalf to               would not be present if we simply
                                                  the Appeals Council conduct hearings                    develop the record for their hearing. By              imposed a 5-day requirement, without
                                                  to develop evidence, other commenters                   adopting this final rule, we have not                 giving a claimant more advance notice
                                                  expressed concern about the proposal. A                 changed our longstanding policy of                    of a hearing. Given the size of our
                                                  few of these commenters stated it was                   assisting claimants in developing the
                                                  an expansion of the Appeals Council’s                   record. At the hearing level, this policy               1 Richardson   v. Perales, 402 U.S. 389, 399 (1971).



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                                                  90990            Federal Register / Vol. 81, No. 242 / Friday, December 16, 2016 / Rules and Regulations

                                                  hearings workloads,2 where the need for                 when a claimant or his or her                         will be more complete and
                                                  efficiency is ‘‘self-evident,’’ 3 these final           representative actively and diligently                comprehensive at the time of the
                                                  rules appropriately balance the twin                    seeks evidence but is unable to obtain                scheduled hearing. In turn, this should
                                                  concerns of fairness and efficiency that                it. To bolster this point, in 20 CFR                  facilitate the ALJ’s ability to look fully
                                                  always guide us.                                        404.935(b)(3)(iv) and 416.1435(b)(3)(iv),             into the issues at the hearing and
                                                     In publishing this final rule, we do                 we removed the phrase ‘‘through no                    produce a timely, accurate decision. As
                                                  not intend to change the purpose of a                   fault of your own’’ to ensure that our                stated above, we will continue our
                                                  hearing, where an ALJ looks fully into                  adjudicators interpret this exception                 longstanding practice of assisting those
                                                  the issues and obtains oral testimony                   consistent with our intent. We intend                 individuals who, for various reasons,
                                                  from the claimant and witnesses, if any.                the words ‘‘actively’’ and ‘‘diligently’’ to          are unable to develop the record
                                                  Additionally, our final rule                            be interpreted using their ordinary                   themselves. This rule also incorporates
                                                  contemplates that some circumstances                    English usage. When a claimant or                     appropriate exceptions to take into
                                                  may warrant the introduction of new                     representative shows that he or she                   account for the needs of individuals
                                                  evidence at or after the hearing, and                   made a good faith effort to timely                    who, due to unique circumstances, do
                                                  includes appropriate exceptions to                      request, obtain, and submit evidence,                 not fully understand or are not capable
                                                  accommodate these circumstances.                        but he or she did not receive the                     of adhering to our requirements or
                                                  Thus, under our final rule, adjudicators                evidence in time to submit it at least 5              requests.
                                                  will continue to make decisions based                   business days before the hearing                         Comment: Some commenters said that
                                                  on the evidence of record, including the                because of circumstances outside his or               the proposed rule makes the
                                                  evidence adduced at the hearing.                        her control, we expect that our                       administrative review process more
                                                  However, we expect that our final rule                  adjudicators would find that this                     formal and adversarial. Commenters
                                                  will help to ensure that evidentiary                    standard is met.                                      also asked the agency to clarify that if
                                                  records are more complete at the time of                   Some commenters perceived this rule                a claimant informs an ALJ about
                                                  the administrative hearing, which                       as an exclusionary procedure designed                 evidence at least 5 business days before
                                                  should reduce the need for post-hearing                 to prevent the introduction of medical                the hearing, the ALJ must consider the
                                                  proceedings and help us provide better,                 records at the expense of the claimant’s              evidence regardless of whether an
                                                  more timely service to all claimants.                   case. Our experience is more consistent               exception exists. Commenters said that
                                                     Comment: Some commenters stated                      with one of the commenters from the                   the proposed rule overlooked that an
                                                  that the philosophical underpinnings of                 Boston region who noted that most ALJs                ALJ adjudicates a case through the date
                                                  the rule in 20 CFR 404.1512 is that ALJs                ‘‘effectively draw the line between                   of his or her decision, and that he or she
                                                  must have all evidence that is available                evidence which had been available but                 needs evidence of ongoing treatment to
                                                  at the time of the hearing so they can                  was not submitted, and previously                     adjudicate the case. Commenters also
                                                  reach the correct decision. The                         unavailable evidence’’ and ‘‘do not use               said the proposed rule did not provide
                                                  commenters thought that the proposed                    the 5-day rule as a punitive device                   the claimant with an opportunity to
                                                  rule conflicted with our rule requiring                 against claimants or their                            submit evidence to rebut other evidence
                                                  claimants to submit all evidence. The                   representatives.’’ Further, in those                  produced at or after the hearing or
                                                  commenters noted that it would not                      situations in which an ALJ in the Boston              permit an ALJ to hold the record open
                                                  make sense to place a duty on the                       region did not correctly find reason to               when a new issue arises during the
                                                  claimant to submit evidence when at the                 accept evidence outside the 5-day time                hearing.
                                                  same time, rules are created that would                 frame, the Appeals Council granted                       Response: From our experience,
                                                  allow an ALJ not to consider that                       review in order to consider the                       similar rules that applied in the Boston
                                                  evidence.                                               information on appeal where the                       region for approximately a decade have
                                                     Response: Our approach with this                     evidence raised a reasonable probability              not resulted in a more adversarial
                                                  rule is tied to the ‘‘philosophical                     of changing the outcome of the case.                  process or misunderstandings from the
                                                  underpinnings’’ of 20 CFR 404.1512 and                  This important practice will continue in              public. Moreover, many of our other
                                                  416.912, which describe a claimant’s                    our final rule.                                       rules that apply nationwide impose
                                                  ongoing duty to ‘‘inform us about or                       Comment: Some commenters pointed                   deadlines or other requirements on the
                                                  submit all evidence known to you that                   out that the 5-day requirement would                  public, such as the deadline to appeal
                                                  relates to whether or not you are blind                 preclude a claimant from submitting                   a determination or decision. While
                                                  or disabled.’’ This rule will ensure                    evidence at the hearing or Appeals                    processing a case, we frequently request
                                                  claimants have the benefit of a fully                   Council level of the administrative                   that individuals submit a response or
                                                  developed record at the time our ALJs                   process, particularly if a claimant is                provide us with information within
                                                  conduct their hearings. We recognize                    illiterate or does not speak English, or              certain timeframes. We have not found
                                                  that there will be circumstances in                     is without an appointed representative                that these provisions make our process
                                                  which claimants cannot produce                          or obtained a representative shortly                  more adversarial. Rather, like this final
                                                  evidence at least 5 business days before                before the hearing date, and this                     rule, they are necessary for efficient
                                                  the hearing. As stated above, we have                   exclusion was an undue burden,                        administration of our programs.
                                                  included appropriate exceptions to the                  fundamentally unfair, and                                If a claimant informs an ALJ about
                                                  5-day requirement to ensure fairness                    disadvantaged claimants in favor of                   evidence 5 or more days before the
                                                                                                          adjudicators.                                         hearing, there would be no need for the
                                                     2 See Annual Statistical Supplement to the Social
                                                                                                             Response: We expect that this final                ALJ to find that an exception applies,
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                                                  Security Bulletin, 2015, Table 2.F9, at page 2.81       rule will enhance our decision-making                 because the claimant notified us prior to
                                                  (April 2016) (setting out the number of hearing level
                                                  receipts, dispositions, and end-of-year pending         process and allow us to provide more                  the deadline.
                                                  cases for fiscal years 012–2014).                       timely decisions to claimants. We do                     While it is true that, in many cases,
                                                     3 See Barnhart v. Thomas, 540 U.S. 20, 28–29         not intend to unduly burden claimants                 an ALJ adjudicates the case through the
                                                  (2003) (‘‘As we have observed, ‘[t]he Social Security   with this rule. By asking claimants to                date of the hearing decision, our rule is
                                                  hearing system is ‘probably the largest adjudicative
                                                  agency in the western world.’ . . . The need for
                                                                                                          inform us about or submit evidence at                 not intended to prevent a claimant from
                                                  efficiency is self-evident.’ ’’) (quoting Heckler v.    least 5 business days before the hearing              submitting evidence related to ongoing
                                                  Campbell, 461 U.S. 458, 461 n.2 (1983)).                date, we expect that evidentiary records              treatment. Rather, we expect that


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                                                                   Federal Register / Vol. 81, No. 242 / Friday, December 16, 2016 / Rules and Regulations                                        90991

                                                  evidence of ongoing treatment, which                    evidence 5 or more days before the                       Under our current rules in 20 CFR
                                                  was unavailable at least 5 business days                hearing, there would be no need for the               404.970 and 416.1470, the Appeals
                                                  before the hearing, would qualify under                 ALJ to find that an exception applies,                Council considers additional evidence
                                                  the exception in 20 CFR 404.935(b)(3)                   because the claimant notified us prior to             only if it is new, material, and related
                                                  and 416.1435(b)(3).                                     the deadline.                                         to the period on or before the date of the
                                                     Similarly, if an ALJ introduces new                                                                        ALJ’s decision. This does not mean,
                                                  evidence at or after a hearing, the                     Representation
                                                                                                                                                                however, that the Appeals Council
                                                  claimant could use the exception in 20                     Comment: A few commenters argued                   grants a claimant’s request for review of
                                                  CFR 404.935(b)(3) and 416.1435(b)(3) to                 that when taking a new case,                          an ALJ’s decision whenever additional
                                                  submit rebuttal evidence. The claimant                  representatives often find that prior                 evidence meets this criteria. In many
                                                  could also rebut evidence introduced at                 counsel was incompetent in obtaining                  cases, the Appeals Council adds
                                                  or after the hearing by submitting a                    evidence, and this rule, as applied at                evidence that meets the criteria to the
                                                  written statement to the ALJ. As                        both the hearing and Appeals Council                  record, but denies the request for review
                                                  previously mentioned, we added                          levels, unjustly harms claimants                      of the case. Under our current rules, the
                                                  language to 20 CFR 404.949 and                          represented by such individuals.                      Appeals Council will review a case in
                                                  416.1449 to clarify that the 5-day                         Response: We reiterate that we expect              this situation only if it finds that the
                                                  requirement applies only to pre-hearing                 all appointed representatives to make                 ALJ’s action, findings, or conclusion is
                                                  written statements, not to post-hearing                 good faith efforts to assist claimants in             contrary to the weight of the evidence
                                                  written statements.                                     obtaining and submitting the required                 currently of record. This final rule
                                                     Comment: Some commenters stated                      evidence before a hearing, as required                provides more clarity to this procedure.
                                                  that the 5-day requirement could affect                 under 20 CFR 404.1740(b)(2) and                       Under this final rule, the Appeals
                                                  a representative’s ability to prepare                   416.1540(b)(2). Additionally, if a new                Council will grant review of a case
                                                  useful and persuasive pre-hearing                       representative can show that a prior                  based on the receipt of additional
                                                  statements, given that the Office of                    representative did not adequately                     evidence if the evidence is new,
                                                  Disability Adjudication and Review                      uphold his or her duty to the claimant,               material, and related to the period on or
                                                  (ODAR) frequently exhibits files very                   we expect that our adjudicators would                 before the date of the hearing decision
                                                  close to the hearing date.                              find that this would warrant an                       and if there is a reasonable probability
                                                     Response: For the same reasons we                    exception to the 5-day requirement.                   that the additional evidence would
                                                  are adopting a 5-day requirement for                                                                          change the outcome of the decision.
                                                                                                          Other
                                                  available evidence, we are adopting this                                                                         If a claimant submits evidence that
                                                  requirement for pre-hearing written                        Comment: Several commenters stated                 the Appeals Council does not consider,
                                                  statements to ensure that an ALJ has the                the new standard at the Appeals                       the Appeals Council will notify the
                                                  benefit of reviewing arguments before                   Council level would force claimants to                claimant that if he or she files a new
                                                  the hearing. This will allow the ALJ to                 choose between filing a new claim and                 application for disability insurance
                                                  be fully aware of any unresolved                        appealing an ALJ’s decision to the                    benefits within 6 months or a new
                                                  issue(s) that a claimant is raising and                 Appeals Council, which could result in                application for Supplemental Security
                                                  which the ALJ may need to address at                    the loss of significant benefits. Another             Income within 60 days of the Appeals
                                                  the hearing. While we are sympathetic                   commenter stated it would result in                   Council notice, the date of the request
                                                  to the commenters who noted exhibit                     filing more new applications overall or               for review will constitute a protective
                                                  numbers were unlikely to be available at                the reopening of prior applications so                filing for a new application.
                                                  least 5 business days before the hearing,               that a claimant could submit previously                  Comment: One commenter expressed
                                                  we note that this issue existed under our               excluded evidence.                                    concerns about the proposed language
                                                  prior rules as well and therefore, this                    Response: It bears reiterating that we             in 20 CFR 404.951(b) and 416.1451(b)
                                                  convenience does not outweigh our                       expect the final rule will help to ensure             because adding the phrase ‘‘appropriate
                                                  need for a complete case file before the                that evidentiary records are more                     reference’’ was insufficient to describe
                                                  hearing.                                                complete at the time of the scheduled                 what evidence an ALJ must include in
                                                     Comment: Some commenters stated                      hearing. However, our final rule                      the record.
                                                  that the 5-day requirement could                        contemplates that some circumstances                     Response: During the time that
                                                  disadvantage claimants who hire                         may warrant the introduction of new                   substantially the same rule was in place
                                                  representatives shortly before the                      evidence at or after the hearing, and                 in the Boston region, we did not
                                                  hearing date.                                           includes an ‘‘inform’’ option and broad               experience any confusion as to the
                                                     Response: We reiterate that we expect                exceptions to accommodate these                       meaning of the phrase ‘‘appropriate
                                                  all appointed representatives to make                   circumstances. With the ‘‘inform’’                    reference.’’ Further, this language is
                                                  good faith efforts to assist claimants in               option and the broad exceptions to the                consistent with our longstanding sub-
                                                  obtaining and submitting the required                   5-day requirement, we do not expect to                regulatory policies and practices
                                                  evidence before a hearing, as required                  see a spike in new applications or                    nationwide, and adoption of this
                                                  under 20 CFR 404.1740(b)(2) and                         reopenings.                                           language does not change our policies
                                                  416.1540(b)(2). However, we have                           Moreover, it is already our policy that            regarding what constitutes the official
                                                  included appropriate exceptions to the                  if a claimant wants to file a new                     record.
                                                  5-day requirement to ensure fairness                    disability application under the same                    Comment: Many commenters
                                                  when a claimant or his or her                           title and for the same benefit type as a              submitted a broad statement that there
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                                                  representative actively and diligently                  disability claim pending at the Appeals               have been ‘‘serious problems’’ and
                                                  seeks evidence but is unable to obtain                  Council level, and the claimant does not              inconsistencies with implementation of
                                                  it. The appointment of a representative                 have evidence of a new critical or                    the 5-day requirement in the Boston
                                                  shortly before a hearing may be such an                 disabling condition, the claimant must                region. The commenters generally
                                                  exception, depending on the                             choose to continue the appeal of the                  presented two main points: (1) There
                                                  circumstances surrounding the late                      prior claim or file a new application.                was variance in applying the 5-day
                                                  appointment. In addition, we note that                  Nothing in the proposed or final rule                 requirement between ALJs; and (2) ALJs
                                                  if a claimant informs an ALJ about                      substantively changes this policy.                    who did apply the rule varied in when


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                                                  90992            Federal Register / Vol. 81, No. 242 / Friday, December 16, 2016 / Rules and Regulations

                                                  the 5-day requirement ended and in                      requirements, at the hearing and                      Reporting and recordkeeping
                                                  evaluating whether an exception to the                  Appeals Council levels of the                         requirements; Social Security;
                                                  5-day requirement applied.                              administrative process. Whereas 20 CFR                Supplemental Security Income (SSI).
                                                     Response: We acknowledge that in a                   404.1512 and 416.912 explain a
                                                  report issued by the Administrative                                                                           20 CFR Part 416
                                                                                                          claimant’s responsibility, 20 CFR
                                                  Conference of the United States                         404.944(a)(1) and 416.1444(a)(1) address                Administrative practice and
                                                  (ACUS) 4 on December 13, 2013, ACUS                     actions an administrative law judge will              procedure; Aged, Blind, Disability
                                                  noted several variances in applying                     take. We expect claimants to submit                   benefits, Public assistance programs;
                                                  similar rules in the Boston region.                     evidence that relates to whether they are             Reporting and recordkeeping
                                                  However, in response to the ACUS                        blind or disabled, but our administrative             requirements; Supplemental Security
                                                  report, we provided additional training                 law judges are responsible for making                 Income (SSI).
                                                  to adjudicators and staff regarding                     the legal judgment determination                      Carolyn W. Colvin,
                                                  application of our Part 405 rules. We                   whether evidence is ‘‘material to the
                                                  also incorporated instructions for                                                                            Acting Commissioner of Social Security.
                                                                                                          issues.’’
                                                  processing cases originating in the                                                                             For the reasons set out in the
                                                  Boston region into our training materials               Regulatory Procedures                                 preamble, we amend 20 CFR chapter III,
                                                  for all staff, including addressing Part                Executive Order 12866, as                             parts 404, 405, and 416 as set forth
                                                  405 issues in several of our quarterly                  Supplemented by Executive Order                       below:
                                                  Videos-On-Demand series that focus on                   13563
                                                  new or problematic areas of                                                                                   PART 404—FEDERAL OLD–AGE,
                                                                                                            We consulted with the Office of                     SURVIVORS AND DISABILITY
                                                  adjudication. We updated our sub-                       Management and Budget (OMB) and
                                                  regulatory guidance to include                                                                                INSURANCE (1950– )
                                                                                                          determined that this final rule meets the
                                                  references and instructions on how to                   criteria for a significant regulatory                 Subpart J—[Amended]
                                                  process cases under Part 405. We will                   action under Executive Order 12866, as
                                                  provide the training and instruction                    supplemented by Executive Order                       ■ 1. The authority citation for subpart J
                                                  necessary to ensure consistent                          13563. Therefore, OMB reviewed it.                    of part 404 continues to read as follows:
                                                  application of our rules nationwide.
                                                     Comment: One commenter asked that                    Regulatory Flexibility Act                               Authority: Secs. 201(j), 204(f), 205(a)–(b),
                                                  if we retain the 5-day requirement, we                                                                        (d)–(h), and (j), 221, 223(i), 225, and 702(a)(5)
                                                                                                            We certify that this final rule would               of the Social Security Act (42 U.S.C. 401(j),
                                                  amend the language to require that each                 not have a significant economic impact                404(f), 405(a)–(b), (d)–(h), and (j), 421, 423(i),
                                                  party make every reasonable effort to                   on a substantial number of small entities             425, and 902(a)(5)); sec. 5, Pub. L. 97–455, 96
                                                  ensure the ALJ receives all the evidence.               because it affects individuals only.                  Stat. 2500 (42 U.S.C. 405 note); secs. 5, 6(c)–
                                                  The commenter noted that proposed 20                    Therefore, a regulatory flexibility                   (e), and 15, Pub. L. 98–460, 98 Stat. 1802 (42
                                                  CFR 404.935(a) and 416.1435(a) require                  analysis is not required under the                    U.S.C. 421 note); sec. 202, Pub. L. 108–203,
                                                  ‘‘every effort,’’ which the commenter                   Regulatory Flexibility Act, as amended.
                                                                                                                                                                118 Stat. 509 (42 U.S.C. 902 note).
                                                  believed is an impossible standard to
                                                  meet.                                                   Paperwork Reduction Act                               ■ 2. In § 404.900, revise the second
                                                     Response: While our final rule                                                                             sentence of paragraph (b) to read as
                                                                                                            These final rules contain reporting                 follows:
                                                  requires a claimant to ‘‘make every                     requirements in regulation sections
                                                  effort to ensure that the administrative                §§ 404.968, 404.976, 416.1468, and                    § 404.900   Introduction.
                                                  law judge receives all of the evidence,’’               416.1476 that require OMB clearance                   *     *     *     *     *
                                                  we do not believe the rule creates an                   under the Paperwork Reduction Act of                    (b) * * * Subject to certain
                                                  ‘‘impossible standard’’ because it also                 1995 (PRA). SSA will submit separate                  timeframes at the hearing level (see
                                                  includes appropriate exceptions to                      information collection requests to OMB                § 404.935) and the limitations on
                                                  accommodate circumstances when,                         in the future for these regulations                   Appeals Council consideration of
                                                  despite good faith efforts, the claimant                sections. We will not collect the                     additional evidence (see § 404.970), we
                                                  cannot satisfy the 5-day requirement.                   information referenced in these burden                will consider at each step of the review
                                                     Comment: Some commenters stated                      sections until we receive OMB approval.               process any information you present as
                                                  that 20 CFR 404.944(a)(1) and
                                                                                                          (Catalog of Federal Domestic Assistance               well as all the information in our
                                                  416.1444(a)(1) conflict with 20 CFR
                                                                                                          Program Nos. 96.001, Social Security—                 records.* * *
                                                  404.1512 and 416.912 because one
                                                                                                          Disability Insurance; 96.002, Social                  ■ 3. Revise the fifth and eighth
                                                  regulation requires an ALJ to ‘‘accept[]                Security—Retirement Insurance; 96.004,
                                                  as evidence any documents that are                                                                            sentences in § 404.929 to read as
                                                                                                          Social Security—Survivors Insurance; and
                                                  material to the issues’’ while the other                                                                      follows:
                                                                                                          96.006, Supplemental Security Income)
                                                  regulation requires a claimant to submit                                                                      § 404.929 Hearing before an administrative
                                                  evidence that ‘‘relates to whether or not               List of Subjects
                                                                                                                                                                law judge-general.
                                                  you are blind or disabled.’’                            20 CFR Part 404
                                                     Response: A claimant continues to                                                                            * * * You may submit new evidence
                                                  have a duty to submit all evidence that                   Administrative practice and                         (subject to the provisions of § 404.935),
                                                  relates to whether or not he or she is                  procedure; Blind; Disability benefits;                examine the evidence used in making
                                                  blind or disabled, subject to our other                 Old-Age, Survivors, and Disability                    the determination or decision under
asabaliauskas on DSK3SPTVN1PROD with RULES




                                                                                                          Insurance; Reporting and recordkeeping                review, and present and question
                                                     4 Administrative Conference of the United States,    requirements; Social Security.                        witnesses. * * * If you waive your right
                                                  ‘‘SSA Disability Benefits Adjudication Process:                                                               to appear at the hearing, in person, by
                                                  Assessing the Impact of the Region I Pilot Program,’’
                                                                                                          20 CFR Part 405                                       video teleconferencing, or by telephone,
                                                  Final Report: December 23, 2013. https://                 Administrative practice and                         the administrative law judge will make
                                                  www.acus.gov/sites/default/files/documents/
                                                  Assessing%20Impact%20of%20
                                                                                                          procedure; Blind; Disability benefits;                a decision based on the preponderance
                                                  Region%20I%20Pilot%20Program%20Report_12_               Old-Age, Survivors, and Disability                    of the evidence that is in the file and,
                                                  23_13_final.pdf.                                        Insurance; Public assistance programs;                subject to the provisions of § 404.935,


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                                                                   Federal Register / Vol. 81, No. 242 / Friday, December 16, 2016 / Rules and Regulations                                        90993

                                                  any new evidence that may have been                     have indicated in writing that you do                 issues; may stop the hearing temporarily
                                                  submitted for consideration.* * *                       not wish to receive this notice. We will              and continue it at a later date if he or
                                                  ■ 4. Revise § 404.935 to read as follows:               mail or serve the notice at least 75 days             she finds that there is material evidence
                                                                                                          before the date of the hearing.                       missing at the hearing; and may reopen
                                                  § 404.935 Submitting written evidence to                   (b) Notice information. The notice of              the hearing at any time before he or she
                                                  an administrative law judge.                            hearing will tell you:                                mails a notice of the decision in order
                                                     (a) When you submit your request for                    (1) The specific issues to be decided              to receive new and material evidence.
                                                  hearing, you should also submit                         in your case;                                         The administrative law judge may
                                                  information or evidence as required by                     (2) That you may designate a person                decide when the evidence will be
                                                  § 404.1512 or any summary of the                        to represent you during the proceedings;              presented and when the issues will be
                                                  evidence to the administrative law                         (3) How to request that we change the              discussed.
                                                  judge. Each party must make every                       time or place of your hearing;                        ■ 8. Revise § 404.949 to read as follows:
                                                  effort to ensure that the administrative                   (4) That your hearing may be
                                                  law judge receives all of the evidence                  dismissed if neither you nor the person               § 404.949 Presenting written statements
                                                  and must inform us about or submit any                  you designate to act as your                          and oral arguments.
                                                  written evidence, as required in                        representative appears at your                          You or a person you designate to act
                                                  § 404.1512, no later than 5 business                    scheduled hearing without good reason                 as your representative may appear
                                                  days before the date of the scheduled                   under § 404.957;                                      before the administrative law judge to
                                                  hearing. If you do not comply with this                    (5) Whether your appearance or that                state your case, present a written
                                                  requirement, the administrative law                     of any other party or witness is                      summary of your case, or enter written
                                                  judge may decline to consider or obtain                 scheduled to be made in person, by                    statements about the facts and law
                                                  the evidence, unless the circumstances                  video teleconferencing, or by telephone.              material to your case in the record. If
                                                  described in paragraph (b) of this                      If we have scheduled you to appear at                 presenting written statements prior to
                                                  section apply.                                          the hearing by video teleconferencing,                hearing, you must provide a copy of
                                                     (b) If you have evidence required                    the notice of hearing will tell you that              your written statements for each party
                                                  under § 404.1512 but you have missed                    the scheduled place for the hearing is a              no later than 5 business days before the
                                                  the deadline described in paragraph (a)                 video teleconferencing site and explain               date set for the hearing, unless you
                                                  of this section, the administrative law                 what it means to appear at your hearing               show that your circumstances meet the
                                                  judge will accept the evidence if he or                 by video teleconferencing;                            conditions described in § 404.935(b).
                                                  she has not yet issued a decision and                      (6) That you must make every effort                ■ 9. In § 404.950, revise paragraphs (c)
                                                  you did not inform us about or submit                   to inform us about or submit all written              and (d) to read as follows:
                                                  the evidence before the deadline                        evidence that is not already in the
                                                  because:                                                record no later than 5 business days                  § 404.950 Presenting evidence at a hearing
                                                                                                          before the date of the scheduled hearing,             before an administrative law judge.
                                                     (1) Our action misled you;
                                                     (2) You had a physical, mental,                      unless you show that your                             *      *     *     *     *
                                                  educational, or linguistic limitation(s)                circumstances meet the conditions                        (c) Admissible evidence. Subject to
                                                  that prevented you from informing us                    described in § 404.935(b); and                        the provisions of § 404.935, the
                                                  about or submitting the evidence earlier;                  (7) Any other information about the                administrative law judge may receive
                                                  or                                                      scheduling and conduct of your hearing.               any evidence at the hearing that he or
                                                     (3) Some other unusual, unexpected,                  *      *    *     *     *                             she believes is material to the issues,
                                                  or unavoidable circumstance beyond                      ■ 6. Revise § 404.939 to read as follows:
                                                                                                                                                                even though the evidence would not be
                                                  your control prevented you from                                                                               admissible in court under the rules of
                                                  informing us about or submitting the                    § 404.939    Objections to the issues.                evidence used by the court.
                                                  evidence earlier. Examples include, but                    If you object to the issues to be                     (d) Subpoenas. (1) When it is
                                                  are not limited to:                                     decided at the hearing, you must notify               reasonably necessary for the full
                                                     (i) You were seriously ill, and your                 the administrative law judge in writing               presentation of a case, an administrative
                                                  illness prevented you from contacting                   at the earliest possible opportunity, but             law judge or a member of the Appeals
                                                  us in person, in writing, or through a                  no later than 5 business days before the              Council may, on his or her own
                                                  friend, relative, or other person;                      date set for the hearing, unless you                  initiative or at the request of a party,
                                                     (ii) There was a death or serious                    show that your circumstances meet the                 issue subpoenas for the appearance and
                                                  illness in your immediate family;                       conditions described in § 404.935(b).                 testimony of witnesses and for the
                                                     (iii) Important records were destroyed               You must state the reason(s) for your                 production of books, records,
                                                  or damaged by fire or other accidental                  objection(s). The administrative law                  correspondence, papers, or other
                                                  cause; or                                               judge will make a decision on your                    documents that are material to an issue
                                                     (iv) You actively and diligently sought              objection(s) either at the hearing or in              at the hearing.
                                                  evidence from a source and the                          writing before the hearing.                              (2) Parties to a hearing who wish to
                                                  evidence was not received or was                        ■ 7. Revise § 404.944 to read as follows:
                                                                                                                                                                subpoena documents or witnesses must
                                                  received less than 5 business days prior                                                                      file a written request for the issuance of
                                                  to the hearing.                                         § 404.944 Administrative law judge hearing            a subpoena with the administrative law
                                                                                                          procedures—general.                                   judge or at one of our offices at least 10
                                                  ■ 5. In § 404.938, revise paragraphs (a)
                                                  and (b) to read as follows:                               A hearing is open to the parties and                business days before the hearing date,
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                                                                                                          to other persons the administrative law               unless you show that your
                                                  § 404.938 Notice of a hearing before an                 judge considers necessary and proper.                 circumstances meet the conditions
                                                  administrative law judge.                               At the hearing, the administrative law                described in § 404.935(b). The written
                                                    (a) Issuing the notice. After we set the              judge looks fully into the issues,                    request must give the names of the
                                                  time and place of the hearing, we will                  questions you and the other witnesses,                witnesses or documents to be produced;
                                                  mail notice of the hearing to you at your               and, subject to the provisions of                     describe the address or location of the
                                                  last known address, or give the notice to               § 404.935: Accepts as evidence any                    witnesses or documents with sufficient
                                                  you by personal service, unless you                     documents that are material to the                    detail to find them; state the important


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                                                  90994            Federal Register / Vol. 81, No. 242 / Friday, December 16, 2016 / Rules and Regulations

                                                  facts that the witness or document is                   § 404.970    Cases the Appeals Council will           your right to file a new application. The
                                                  expected to prove; and indicate why                     review.                                               notice will also advise you that if you
                                                  these facts could not be proven without                    (a) The Appeals Council will review                file a new application within 6 months
                                                  issuing a subpoena.                                     a case if—                                            after the date of the Appeals Council’s
                                                     (3) We will pay the cost of issuing the                 (1) There appears to be an abuse of                notice, your request for review will
                                                  subpoena.                                               discretion by the administrative law                  constitute a written statement indicating
                                                     (4) We will pay subpoenaed witnesses                 judge;                                                an intent to claim benefits under
                                                  the same fees and mileage they would                       (2) There is an error of law;                      § 404.630. If you file a new application
                                                  receive if they had been subpoenaed by                     (3) The action, findings or
                                                  a Federal district court.                                                                                     within 6 months of the Appeals
                                                                                                          conclusions of the administrative law
                                                                                                          judge are not supported by substantial                Council’s notice, we will use the date
                                                  *      *    *     *    *
                                                                                                          evidence;                                             you requested Appeals Council review
                                                  ■ 10. Revise § 404.951 to read as
                                                                                                             (4) There is a broad policy or                     as the filing date for your new
                                                  follows:                                                                                                      application.
                                                                                                          procedural issue that may affect the
                                                  § 404.951   Official record.                            general public interest; or                           ■ 13. Revise § 404.976 to read as
                                                     (a) Hearing recording. All hearings                     (5) Subject to paragraph (b) of this               follows:
                                                  will be recorded. The hearing recording                 section, the Appeals Council receives
                                                  will be prepared as a typed copy of the                 additional evidence that is new,                      § 404.976 Procedures before the Appeals
                                                  proceedings if—                                         material, and relates to the period on or             Council on review.
                                                     (1) The case is sent to the Appeals                  before the date of the hearing decision,
                                                                                                                                                                  (a) Limitation of issues. The Appeals
                                                  Council without a decision or with a                    and there is a reasonable probability
                                                  recommended decision by the                                                                                   Council may limit the issues it
                                                                                                          that the additional evidence would
                                                  administrative law judge;                               change the outcome of the decision.                   considers if it notifies you and the other
                                                     (2) You seek judicial review of your                    (b) The Appeals Council will only                  parties of the issues it will review.
                                                  case by filing an action in a Federal                   consider additional evidence under                       (b) Oral argument. You may request to
                                                  district court within the stated time                   paragraph (a)(5) of this section if you               appear before the Appeals Council to
                                                  period, unless we request the court to                  show good cause for not informing us                  present oral argument. The Appeals
                                                  remand the case; or                                     about or submitting the evidence as                   Council will grant your request if it
                                                     (3) An administrative law judge or the               described in § 404.935 because:                       decides that your case raises an
                                                  Appeals Council asks for a written                         (1) Our action misled you;                         important question of law or policy or
                                                  record of the proceedings.                                 (2) You had a physical, mental,                    that oral argument would help to reach
                                                     (b) Contents of the official record. All             educational, or linguistic limitation(s)
                                                  evidence upon which the administrative                                                                        a proper decision. If your request to
                                                                                                          that prevented you from informing us                  appear is granted, the Appeals Council
                                                  law judge relies for the decision must be               about or submitting the evidence earlier;
                                                  contained in the record, either directly                                                                      will tell you the time and place of the
                                                                                                          or
                                                  or by appropriate reference. The official                                                                     oral argument at least 10 business days
                                                                                                             (3) Some other unusual, unexpected,
                                                  record will include the applications,                   or unavoidable circumstance beyond                    before the scheduled date. The Appeals
                                                  written statements, certificates, reports,              your control prevented you from                       Council will determine whether your
                                                  affidavits, medical records, and other                  informing us about or submitting the                  appearance, or the appearance of any
                                                  documents that were used in making the                  evidence earlier. Examples include, but               other person relevant to the proceeding,
                                                  decision under review and any                           are not limited to:                                   will be in person, by video
                                                  additional evidence or written                             (i) You were seriously ill, and your               teleconferencing, or by telephone.
                                                  statements that the administrative law                  illness prevented you from contacting
                                                  judge admits into the record under                                                                            § 404.979   [Amended]
                                                                                                          us in person, in writing, or through a
                                                  §§ 404.929 and 404.935. All exhibits                    friend, relative, or other person;                    ■ 14. Revise the first sentence of
                                                  introduced as evidence must be marked                      (ii) There was a death or serious                  § 404.979 to read as follows:
                                                  for identification and incorporated into                illness in your immediate family;
                                                  the record. The official record of your                    (iii) Important records were destroyed               After it has reviewed all the evidence
                                                  claim will contain all of the marked                    or damaged by fire or other accidental                in the administrative law judge hearing
                                                  exhibits and a verbatim recording of all                cause;                                                record and any additional evidence
                                                  testimony offered at the hearing. It also                  (iv) You actively and diligently sought            received, subject to the limitations on
                                                  will include any prior initial                          evidence from a source and the                        Appeals Council consideration of
                                                  determinations or decisions on your                     evidence was not received or was                      additional evidence in § 404.970, the
                                                  claim.                                                  received less than 5 business days prior              Appeals Council will make a decision or
                                                  ■ 11. In § 404.968, revise the second                   to the hearing; or                                    remand the case to an administrative
                                                  sentence of paragraph (a) introductory                     (v) You received a hearing level                   law judge. * * *
                                                  text to read as follows:                                decision on the record and the Appeals
                                                                                                          Council reviewed your decision.                       PART 405—[REMOVED AND
                                                  § 404.968   How to request Appeals Council                 (c) If you submit additional evidence              RESERVED]
                                                  review.
                                                                                                          that does not relate to the period on or
                                                    (a) * * * You should submit any                       before the date of the administrative law             ■ 15. Under the authority of sections
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                                                  evidence you wish to have considered                    judge hearing decision as required in                 205(a), 702(a)(5), and 1631(d)(1) of the
                                                  by the Appeals Council with your                        paragraph (a)(5) of this section, or the
                                                  request for review, and the Appeals                                                                           Social Security Act, part 405 is removed
                                                                                                          Appeals Council does not find you had                 and reserved.
                                                  Council will consider the evidence in                   good cause for missing the deadline to
                                                  accordance with § 404.970. * * *                        submit the evidence in § 404.935, the
                                                  *     *     *    *    *                                 Appeals Council will send you a notice
                                                  ■ 12. Revise § 404.970 to read as                       that explains why it did not accept the
                                                  follows:                                                additional evidence and advises you of


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                                                                     Federal Register / Vol. 81, No. 242 / Friday, December 16, 2016 / Rules and Regulations                                          90995

                                                  PART 416—SUPPLEMENTAL                                     judge may decline to consider or obtain                  (2) That you may designate a person
                                                  SECURITY INCOME FOR THE AGED,                             the evidence unless the circumstances                 to represent you during the proceedings;
                                                  BLIND, AND DISABLED                                       described in paragraph (b) of this                       (3) How to request that we change the
                                                                                                            section apply.                                        time or place of your hearing;
                                                  Subpart N—Determinations,                                    (b) If you have evidence required                     (4) That your hearing may be
                                                  Administrative Review Process, and                        under § 416.912 but you have missed                   dismissed if neither you nor the person
                                                  Reopening of Determinations and                           the deadline described in paragraph (a)               you designate to act as your
                                                  Decisions                                                 of this section, the administrative law               representative appears at your
                                                                                                            judge will accept the evidence if he or               scheduled hearing without good reason
                                                  ■ 16. The authority citation for subpart                  she has not yet issued a decision and                 under § 416.1457;
                                                  N of part 416 continues to read as                        you did not inform us about or submit                    (5) Whether your appearance or that
                                                  follows:                                                  the evidence before the deadline                      of any other party or witness is
                                                    Authority: Secs. 702(a)(5), 1631, and 1633              because:                                              scheduled to be made in person, by
                                                  of the Social Security Act (42 U.S.C.                        (1) Our action misled you;                         video teleconferencing, or by telephone.
                                                  902(a)(5), 1383, and 1383b); sec. 202, Pub. L.               (2) You had a physical, mental,                    If we have scheduled you to appear at
                                                  108–203, 118 Stat. 509 (42 U.S.C. 902 note).              educational, or linguistic limitation(s)              the hearing by video teleconferencing,
                                                  ■ 17. In § 416.1400, revise the second                    that prevented you from informing us                  the notice of hearing will tell you that
                                                  sentence of paragraph (b) to read as                      about or submitting the evidence earlier;             the scheduled place for the hearing is a
                                                  follows:                                                  or                                                    video teleconferencing site and explain
                                                                                                               (3) Some other unusual, unexpected,                what it means to appear at your hearing
                                                  § 416.1400       Introduction.
                                                                                                            or unavoidable circumstance beyond                    by video teleconferencing;
                                                  *     *     *     *     *                                 your control prevented you from
                                                    (b) * * * Subject to certain                                                                                     (6) That you must make every effort
                                                                                                            informing us about or submitting the                  to inform us about or submit all written
                                                  timeframes at the hearing level (see                      evidence earlier. Examples include, but
                                                  § 416.1435) and the limitations on                                                                              evidence that is not already in the
                                                                                                            are not limited to:                                   record no later than 5 business days
                                                  Appeals Council consideration of                             (i) You were seriously ill, and your
                                                  additional evidence (see § 416.1470), we                                                                        before the date of the scheduled hearing,
                                                                                                            illness prevented you from contacting                 unless you show that your
                                                  will consider at each step of the review                  us in person, in writing, or through a
                                                  process any information you present as                                                                          circumstances meet the conditions
                                                                                                            friend, relative, or other person;                    described in § 416.1435(b); and
                                                  well as all the information in our                           (ii) There was a death or serious
                                                  records.* * *                                                                                                      (7) Any other information about the
                                                                                                            illness in your immediate family;                     scheduling and conduct of your hearing.
                                                  ■ 18. Revise the fifth and eighth                            (iii) Important records were destroyed
                                                  sentences of § 416.1429 to read as                        or damaged by fire or other accidental                *      *    *     *    *
                                                  follows:                                                  cause; or                                             ■ 21. Revise § 416.1439 to read as
                                                                                                               (iv) You actively and diligently sought            follows:
                                                  § 416.1429 Hearing before an
                                                                                                            evidence from a source and the                        § 416.1439   Objections to the issues.
                                                  administrative law judge-general.
                                                                                                            evidence was not received or was
                                                    * * * You may submit new evidence                                                                                If you object to the issues to be
                                                                                                            received less than 5 business days prior
                                                  (subject to the provisions of § 416.1435),                                                                      decided at the hearing, you must notify
                                                                                                            to the hearing.
                                                  examine the evidence used in making                          (c) Claims Not Based on an                         the administrative law judge in writing
                                                  the determination or decision under                       Application For Benefits.                             at the earliest possible opportunity, but
                                                  review, and present and question                          Notwithstanding the requirements in                   no later than 5 business days before the
                                                  witnesses. * * * If you waive your right                  paragraphs (a)–(b) of this section, for               date set for the hearing, unless you
                                                  to appear at the hearing, in person, by                   claims that are not based on an                       show that your circumstances meet the
                                                  video teleconferencing, or by telephone,                  application for benefits, the evidentiary             conditions described in § 416.1435(b).
                                                  the administrative law judge will make                    requirement to inform us about or                     You must state the reason(s) for your
                                                  a decision based on the preponderance                     submit evidence no later than 5                       objection(s). The administrative law
                                                  of the evidence that is in the file and,                  business days before the date of the                  judge will make a decision on your
                                                  subject to the provisions of § 416.1435,                  scheduled hearing will not apply if our               objection(s) either at the hearing or in
                                                  any new evidence that may have been                       other regulations allow you to submit                 writing before the hearing.
                                                  submitted for consideration.* * *                         evidence after the date of an                         ■ 22. Revise § 416.1444 to read as
                                                  ■ 19. Revise § 416.1435 to read as                        administrative law judge decision.                    follows:
                                                  follows:                                                  ■ 20. In § 416.1438, revise paragraphs
                                                                                                                                                                  § 416.1444 Administrative law judge
                                                  § 416.1435 Submitting written evidence to
                                                                                                            (a) and (b) to read as follows:                       hearing procedures—general.
                                                  an administrative law judge.                              § 416.1438 Notice of a hearing before an                 A hearing is open to the parties and
                                                     (a) When you submit your request for                   administrative law judge.                             to other persons the administrative law
                                                  hearing, you should also submit                             (a) Issuing the notice. After we set the            judge considers necessary and proper.
                                                  information or evidence as required by                    time and place of the hearing, we will                At the hearing, the administrative law
                                                  § 416.912 or any summary of the                           mail notice of the hearing to you at your             judge looks fully into the issues,
                                                  evidence to the administrative law                        last known address, or give the notice to             questions you and the other witnesses,
                                                  judge. Each party must make every                         you by personal service, unless you                   and, subject to the provisions of
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                                                  effort to ensure that the administrative                  have indicated in writing that you do                 § 416.1435: Accepts as evidence any
                                                  law judge receives all of the evidence                    not wish to receive this notice. We will              documents that are material to the
                                                  and must inform us about or submit any                    mail or serve the notice at least 75 days             issues; may stop the hearing temporarily
                                                  written evidence, as required in                          before the date of the hearing.                       and continue it at a later date if he or
                                                  § 416.912, no later than 5 business days                    (b) Notice information. The notice of               she finds that there is material evidence
                                                  before the date of the scheduled hearing.                 hearing will tell you:                                missing at the hearing; and may reopen
                                                  If you do not comply with this                              (1) The specific issues to be decided               the hearing at any time before he or she
                                                  requirement, the administrative law                       in your case;                                         mails a notice of the decision in order


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                                                  90996            Federal Register / Vol. 81, No. 242 / Friday, December 16, 2016 / Rules and Regulations

                                                  to receive new and material evidence.                     (3) We will pay the cost of issuing the                (1) There appears to be an abuse of
                                                  The administrative law judge may                        subpoena.                                             discretion by the administrative law
                                                  decide when the evidence will be                          (4) We will pay subpoenaed witnesses                judge;
                                                  presented and when the issues will be                   the same fees and mileage they would                     (2) There is an error of law;
                                                  discussed.                                              receive if they had been subpoenaed by                   (3) The action, findings or
                                                  ■ 23. Revise § 416.1449 to read as                      a Federal district court.                             conclusions of the administrative law
                                                  follows:                                                *     *     *     *    *                              judge are not supported by substantial
                                                                                                          ■ 25. Revise § 416.1451 to read as                    evidence;
                                                  § 416.1449 Presenting written statements
                                                                                                          follows:                                                 (4) There is a broad policy or
                                                  and oral arguments.                                                                                           procedural issue that may affect the
                                                     You or a person you designate to act                 § 416.1451    Official record.                        general public interest; or
                                                  as your representative may appear                          (a) Hearing recording. All hearings                   (5) Subject to paragraph (b) of this
                                                  before the administrative law judge to                  will be recorded. The hearing recording               section, the Appeals Council receives
                                                  state your case, present a written                      will be prepared as a typed copy of the               additional evidence that is new,
                                                  summary of your case, or enter written                  proceedings if—                                       material, and relates to the period on or
                                                  statements about the facts and law                         (1) The case is sent to the Appeals                before the date of the hearing decision,
                                                  material to your case in the record. If                 Council without a decision or with a                  and there is a reasonable probability
                                                  presenting written statements prior to                  recommended decision by the                           that the additional evidence would
                                                  hearing, you must provide a copy of                     administrative law judge;                             change the outcome of the decision.
                                                  your written statements for each party                     (2) You seek judicial review of your                  (b) In reviewing decisions other than
                                                  no later than 5 business days before the                case by filing an action in a Federal                 those based on an application for
                                                  date set for the hearing, unless you                    district court within the stated time                 benefits, the Appeals Council will
                                                  show that your circumstances meet the                   period, unless we request the court to                consider the evidence in the
                                                  conditions described in § 416.1435(b).                  remand the case; or                                   administrative law judge hearing record
                                                  ■ 24. In § 416.1450, revise paragraphs                     (3) An administrative law judge or the             and any additional evidence it believes
                                                  (c) and (d) to read as follows:                         Appeals Council asks for a written                    is material to an issue being considered.
                                                                                                          record of the proceedings.                            However, in reviewing decisions based
                                                  § 416.1450 Presenting evidence at a                        (b) Contents of the official record. All           on an application for benefits, the
                                                  hearing before an administrative law judge.             evidence upon which the administrative                Appeals Council will only consider
                                                  *      *     *     *     *                              law judge relies for the decision must be             additional evidence under paragraph
                                                     (c) Admissible evidence. Subject to                  contained in the record, either directly              (a)(5) of this section if you show good
                                                  the provisions of § 416.1435, the                       or by appropriate reference. The official             cause for not informing us about or
                                                  administrative law judge may receive                    record will include the applications,                 submitting the evidence as described in
                                                  any evidence at the hearing that he or                  written statements, certificates, reports,            § 416.1435 because:
                                                  she believes is material to the issues,                 affidavits, medical records, and other                   (1) Our action misled you;
                                                  even though the evidence would not be                   documents that were used in making the                   (2) You had a physical, mental,
                                                  admissible in court under the rules of                  decision under review and any                         educational, or linguistic limitation(s)
                                                  evidence used by the court.                             additional evidence or written                        that prevented you from informing us
                                                                                                          statements that the administrative law                about or submitting the evidence earlier;
                                                     (d) Subpoenas. (1) When it is
                                                                                                          judge admits into the record under                    or
                                                  reasonably necessary for the full                                                                                (3) Some other unusual, unexpected,
                                                  presentation of a case, an administrative               §§ 416.1429 and 416.1435. All exhibits
                                                                                                          introduced as evidence must be marked                 or unavoidable circumstance beyond
                                                  law judge or a member of the Appeals                                                                          your control prevented you from
                                                  Council may, on his or her own                          for identification and incorporated into
                                                                                                          the record. The official record of your               informing us about or submitting the
                                                  initiative or at the request of a party,                                                                      evidence earlier. Examples include, but
                                                  issue subpoenas for the appearance and                  claim will contain all of the marked
                                                                                                          exhibits and a verbatim recording of all              are not limited to:
                                                  testimony of witnesses and for the                                                                               (i) You were seriously ill, and your
                                                  production of books, records,                           testimony offered at the hearing. It also
                                                                                                          will include any prior initial                        illness prevented you from contacting
                                                  correspondence, papers, or other                                                                              us in person, in writing, or through a
                                                  documents that are material to an issue                 determinations or decisions on your
                                                                                                          claim.                                                friend, relative, or other person;
                                                  at the hearing.                                                                                                  (ii) There was a death or serious
                                                                                                          ■ 26. In § 416.1468, revise the second
                                                     (2) Parties to a hearing who wish to                                                                       illness in your immediate family;
                                                  subpoena documents or witnesses must                    sentence of paragraph (a) introductory
                                                                                                                                                                   (iii) Important records were destroyed
                                                  file a written request for the issuance of              text to read as follows:
                                                                                                                                                                or damaged by fire or other accidental
                                                  a subpoena with the administrative law                  § 416.1468 How to request Appeals                     cause;
                                                  judge or at one of our offices at least 10              Council review.                                          (iv) You actively and diligently sought
                                                  business days before the hearing date,                    (a) * * * You should submit any                     evidence from a source and the
                                                  unless you show that your                               evidence you wish to have considered                  evidence was not received or was
                                                  circumstances meet the conditions                       by the Appeals Council with your                      received less than 5 business days prior
                                                  described in § 416.1435(b). The written                 request for review, and the Appeals                   to the hearing; or
                                                  request must give the names of the                      Council will consider the evidence in                    (v) You received a hearing level
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                                                  witnesses or documents to be produced;                  accordance with § 416.1470. * * *                     decision on the record and the Appeals
                                                  describe the address or location of the                 ■ 27. Revise § 416.1470 to read as                    Council reviewed your decision.
                                                  witnesses or documents with sufficient                  follows:                                                 (c) If you submit additional evidence
                                                  detail to find them; state the important                                                                      that does not relate to the period on or
                                                  facts that the witness or document is                   § 416.1470    Cases the Appeals Council will          before the date of the administrative law
                                                  expected to prove; and indicate why                     review.                                               judge hearing decision as required in
                                                  these facts could not be proven without                   (a) The Appeals Council will review                 paragraph (a)(5) of this section, or the
                                                  issuing a subpoena.                                     a case if—                                            Appeals Council does not find you had


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                                                                     Federal Register / Vol. 81, No. 242 / Friday, December 16, 2016 / Rules and Regulations                                      90997

                                                  good cause for missing the deadline to                   DEPARTMENT OF HOUSING AND                             Development, Office of Community
                                                  submit the evidence in § 416.1435, the                   URBAN DEVELOPMENT                                     Planning and Development, 451 7th
                                                  Appeals Council will send you a notice                                                                         Street SW., Suite 7204, Washington, DC
                                                  that explains why it did not accept the                  24 CFR Part 91                                        20410 at 202–402–4492 (this is not a
                                                  additional evidence and advises you of                   [Docket No. FR 5891–F–02]                             toll-free number). Individuals with
                                                  your right to file a new application. The                                                                      speech or hearing impairments may
                                                                                                           RIN 2506–AC41                                         access this number via TTY by calling
                                                  notice will also advise you that if you
                                                  file a new application within 60 days                                                                          the Federal Relay Service at 800–877–
                                                                                                           Modernizing HUD’s Consolidated                        8339 (this is a toll-free number).
                                                  after the date of the Appeals Council’s                  Planning Process To Narrow the
                                                  notice, your request for review will                                                                           SUPPLEMENTARY INFORMATION:
                                                                                                           Digital Divide and Increase Resilience
                                                  constitute a written statement indicating                to Natural Hazards                                    I. Executive Summary
                                                  an intent to claim benefits under
                                                                                                           AGENCY:  Office of the Assistant                      A. Purpose of This Rule
                                                  § 416.340. If you file a new application
                                                  within 60 days of the Appeals Council’s                  Secretary for Community Planning and                     The purpose of this rule is to require
                                                                                                           Development, HUD.                                     States and local governments to evaluate
                                                  notice, we will use the date you
                                                                                                           ACTION: Final rule.                                   the availability of broadband access and
                                                  requested Appeals Council review as
                                                  the filing date for your new application.                                                                      the vulnerability of housing occupied by
                                                                                                           SUMMARY:    HUD’s Consolidated Plan is a              low- and moderate income households
                                                  ■ 28. Revise § 416.1476 to read as                       planning mechanism designed to help                   to natural hazard risks, many of which
                                                  follows:                                                 States and local governments to assess                may be increasing due to climate
                                                                                                           their affordable housing and community                change, in their Consolidated Planning
                                                  § 416.1476 Procedures before the Appeals                 development needs and to make data-
                                                  Council on review.                                                                                             efforts. These evaluations are to be
                                                                                                           driven, place-based investment                        conducted using readily available data
                                                    (a) Limitation of issues. The Appeals                  decisions. The Consolidated Planning                  sources developed by Federal
                                                  Council may limit the issues it                          process serves as the framework for a                 government agencies, other available
                                                  considers if it notifies you and the other               community-wide dialogue to identify                   data and analyses (including State,
                                                  parties of the issues it will review.                    housing and community development                     Tribal, and local hazard mitigation
                                                                                                           priorities that align and focus funding               plans that have been approved by the
                                                     (b) Oral argument. You may request to                 from HUD’s formula block grant
                                                  appear before the Appeals Council to                                                                           Federal Emergency Management Agency
                                                                                                           programs. This rule amends HUD’s                      (FEMA)), and data that State and local
                                                  present oral argument. The Appeals                       Consolidated Plan regulations to require              government grantees may have available
                                                  Council will grant your request if it                    that jurisdictions consider two                       to them. Where access to broadband
                                                  decides that your case raises an                         additional concepts in their planning                 Internet service is not currently
                                                  important question of law or policy or                   efforts.                                              available or is minimally available (such
                                                  that oral argument would help to reach                      The first concept is how to address                as in certain rural areas), States and
                                                  a proper decision. If your request to                    the need for broadband access for low-                local governments must consider ways
                                                  appear is granted, the Appeals Council                   and moderate-income residents in the                  to bring broadband Internet access to
                                                  will tell you the time and place of the                  communities they serve. Broadband is                  low- and moderate-income residents,
                                                  oral argument at least 10 business days                  the common term used to refer to a                    including how HUD funds could be
                                                  before the scheduled date. The Appeals                   high-speed, always-on connection to the               used to narrow the digital divide for
                                                  Council will determine whether your                      Internet. Such connection is also                     these residents. Further, where low- and
                                                  appearance, or the appearance of any                     referred to as high-speed broadband or                moderate-income communities are at
                                                  other person relevant to the proceeding,                 high-speed Internet. Specifically, the                risk of natural hazards, including those
                                                  will be in person, by video                              rule requires that States and localities              that are expected to increase due to
                                                                                                           that submit a Consolidated Plan                       climate change, States and local
                                                  teleconferencing, or by telephone.
                                                                                                           describe the broadband access in                      governments must consider ways to
                                                  § 416.1479       [Amended]                               housing occupied by low- and                          incorporate appropriate hazard
                                                                                                           moderate-income households. If low-                   mitigation and resilience into their
                                                  ■ 29. Revise the first sentence of                       income residents in the communities do
                                                  § 416.1479 to read as follows:                                                                                 community planning and development
                                                                                                           not have such access, States and                      goals, codes, and standards, including
                                                    After it has reviewed all the evidence                 jurisdictions must consider providing                 the use of HUD funds to accomplish
                                                  in the administrative law judge hearing                  broadband access to these residents in                these objectives. These two planning
                                                  record and any additional evidence                       their decisions on how to invest HUD                  considerations reflect emerging needs of
                                                  received, subject to the limitations on                  funds. The second concept added to the                communities in this changing world.
                                                  Appeals Council consideration of                         Consolidated Plan process requires                    Broadband provides access to a wide
                                                  additional evidence in § 416.1470, the                   jurisdictions to consider incorporating               range of resources, services, and
                                                  Appeals Council will make a decision or                  resilience to natural hazard risks, taking            products, which assist not only
                                                  remand the case to an administrative                     care to anticipate how risks will                     individuals and, but also communities,
                                                  law judge. * * *                                         increase due to climate change, into                  in their efforts to improve their
                                                                                                           development of the plan in order to                   economic outlooks. Analysis of natural
                                                  [FR Doc. 2016–30103 Filed 12–15–16; 8:45 am]
                                                                                                           begin addressing impacts of climate
asabaliauskas on DSK3SPTVN1PROD with RULES




                                                  BILLING CODE 4191–02–P                                                                                         hazards, including the anticipated
                                                                                                           change on low- and moderate-income                    effects of climate change on those
                                                                                                           residents.                                            hazards, is important to help ensure that
                                                                                                           DATES: Effective Date: January 17, 2017.              jurisdictions are aware of existing and
                                                                                                           FOR FURTHER INFORMATION CONTACT: Lora                 developing vulnerabilities in the
                                                                                                           Routt, Senior Advisor, Office of                      geographic areas that they serve that can
                                                                                                           Community Planning and Development,                   threaten the health and safety of the
                                                                                                           Department of Housing and Urban                       populations they serve.


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Document Created: 2018-02-14 09:07:22
Document Modified: 2018-02-14 09:07:22
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionRules and Regulations
ActionFinal rule.
DatesThis final rule will be effective on January 17, 2017. However, compliance is not required until May 1, 2017.
ContactPatrick McGuire, Office of Appellate Operations, Social Security Administration, 5107 Leesburg Pike, Falls Church, VA 22041, (703) 605-7100. 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 http://www.socialsecurity.gov.
FR Citation81 FR 90987 
RIN Number0960-AH71
CFR Citation20 CFR 404
20 CFR 405
20 CFR 416
CFR AssociatedAdministrative Practice and Procedure; Blind; Disability Benefits; Old-Age; Survivors; Disability Insurance; Reporting and Recordkeeping Requirements; Social Security; Disability Insurance; Public Assistance Programs; Reporting and Recordkeeping Requirements; Social Security; Supplemental Security Income (ssi); Administrative Practice and Procedure; Aged; Blind; Disability Benefits and Public Assistance Programs; Reporting and Recordkeeping Requirements; Supplemental Security Income (ssi)

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