[Title 20 CFR 404.1501]
[Code of Federal Regulations (annual edition) - April 1, 1996 Edition]
[Title 20 - EMPLOYEES' BENEFITS]
[Chapter III - SOCIAL SECURITY ADMINISTRATION]
[Part 404 - FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- )]
[Subpart P - Determining Disability and Blindness]
[Sec. 404.1501 - Scope of subpart.]
[From the U.S. Government Publishing Office]
20
EMPLOYEES' BENEFITS
2
1996-04-01
1996-04-01
false
Scope of subpart.
404.1501
Sec. 404.1501
EMPLOYEES' BENEFITS
SOCIAL SECURITY ADMINISTRATION
FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- )
Determining Disability and Blindness
Sec. 404.1501 Scope of subpart.
In order for you to become entitled to any benefits based upon
disability or blindness or to have a period of disability established,
you must be disabled or blind as defined in title II of the Social
Security Act. This subpart explains how we determine whether you are
disabled or blind. We discuss a period of disability in subpart D of
this part. We have organized the rules in the following way.
(a) We define general terms, then discuss who makes our disability
determinations and state that disability determinations made under other
programs are not binding on our determinations.
(b) We explain the term disability and note some of the major
factors that are considered in determining whether you are disabled in
Secs. 404.1505 through 404.1510.
(c) Sections 404.1512 through 404.1518 contain our rules on
evidence. We explain your responsibilities for submitting evidence of
your impairment, state what we consider to be acceptable sources of
medical evidence, and describe what information should be included in
medical reports.
(d) Our general rules on evaluating disability if you are filing a
new application are stated in Secs. 404.1520 through 404.1523. We
describe the steps that we go through and the order in which they are
considered.
(e) Our rules on medical considerations are found in Secs. 404.1525
through 404.1530. We explain in these rules--
[[Page 310]]
(1) The purpose of the Listing of Impairments found in appendix 1 of
this subpart and how to use it;
(2) What we mean by the term medical equivalence and how we
determine medical equivalence;
(3) The effect of a conclusion by your physician that you are
disabled;
(4) What we mean by symptoms, signs, and laboratory findings;
(5) How we evaluate pain and other symptoms; and
(6) The effect on your benefits if you fail to follow treatment that
is expected to restore your ability to work, and how we apply the rule.
(f) In Secs. 404.1545 through 404.1546 we explain what we mean by
the term residual functional capacity, state when an assessment of
residual functional capacity is required, and who may make it.
(g) Our rules on vocational considerations are found in
Secs. 404.1560 through 404.1569a. We explain when vocational factors
must be considered along with the medical evidence, discuss the role of
residual functional capacity in evaluating your ability to work, discuss
the vocational factors of age, education, and work experience, describe
what we mean by work which exists in the national economy, discuss the
amount of exertion and the type of skill required for work, describe and
tell how to use the Medical-Vocational Guidelines in appendix 2 of this
subpart, and explain when, for purposes of applying the guidelines in
appendix 2, we consider the limitations or restrictions imposed by your
impairment(s) and related symptoms to be exertional, nonexertional, or a
combination of both.
(h) Our rules on substantial gainful activity are found in
Secs. 404.1571 through 404.1574. These explain what we mean by
substantial gainful activity and how we evaluate your work activity.
(i) In Secs. 404.1577, 404.1578, and 404.1579, we explain the
special rules covering disability for widows, widowers, and surviving
divorced spouses for monthly benefits payable for months prior to
January 1991, and in Secs. 404.1581 through 404.1587 we discuss
disability due to blindness.
(j) Our rules on when disability continues and stops are contained
in Sec. 404.1579 and Secs. 404.1588 through 404.1598. We explain what
your responsibilities are in telling us of any events that may cause a
change in your disability status, when you may have a trial work period,
and when we will review to see if you are still disabled. We also
explain how we consider the issue of medical improvement (and the
exceptions to medical improvement) in deciding whether you are still
disabled.
[45 FR 55584, Aug. 20, 1980, as amended at 50 FR 50126, Dec. 6, 1985; 56
FR 57941, Nov. 14, 1991; 57 FR 30120, July 8, 1992]