[Federal Register Volume 61, Number 131 (Monday, July 8, 1996)]
[Notices]
[Pages 35844-35857]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-17244]
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SOCIAL SECURITY ADMINISTRATION
Statement of Organization, Functions and Delegations of Authority
Notice is being given that two new chapters are being issued,
Chapter TC, Office of the Chief Actuary and Chapter TE, Office of the
Deputy Commissioner, Communications and that Chapter TA, Office of the
Deputy Commissioner, Programs, Policy, Evaluation and Communications
(TA) is being reissued.
Within the Deputy Commissioner, Programs, Policy, Evaluation and
Communications notice is given that the Office of the Actuary (TAC);
the Office of Communications (TAL); the Resources Management Staff
(TAA-1); the Office Automation Support Staff (TAA-2); the Office of
Program Coordination and Planning (TAB); the Office of Policy Analysis
and Evaluation (TAQ); the Office of Policy (TAK); and the Office of
Disclosure Policy (TAG) are abolished. Notice is also given of the
establishment of the Office of Policy and Planning (TAR) and the Office
of Program Support (TAS) and the retitling of the Office of Research
and Statistics (TAN) as the Office of Research, Evaluation and
Statistics.
Finally, notice is given that in the Office of Disability (TAE) the
Office of Medical Evaluation (TAEA) is being abolished. The functions
are being redistributed among the Office of the Associate Commissioner
for Disability, the Division of Medical and Vocational Policy (TAEC)
and the Federal Disability Determination Services (TAEB).
The new and reissued Chapters read as follows:
ADD new chapter
Chapter TC--Office of the Chief Actuary
TC.00 Mission
TC.10 Organization
TC.20 Functions
Section TC.00 The Office of the Chief Actuary--(Mission): The
Office of the Chief Actuary (OCACT) plans and directs a program of
actuarial estimates and analyses pertaining to the SSA-administered
retirement, survivors and disability insurance programs and
supplemental security income program and to projected changes in these
programs. Evaluates operations of the
[[Page 35845]]
Federal Old-Age and Survivors Insurance Trust Fund and the Federal
Disability Insurance Trust Fund; estimates future operations of the
trust funds; conducts studies of program financing; performs actuarial
and demographic research on social insurance and related program
issues; and estimates future workloads. Provides technical and
consultative services to the Commissioner, the Board of Trustees of
those two Trust Funds, and, as requested, congressional committees.
Appears before congressional committees to provide expert testimony on
the actuarial aspects of Social Security issues.
Section TC.10 The Office of the Chief Actuary--(Organization): The
Office of the Chief Actuary under the leadership of the Chief Actuary,
includes:
A. The Chief Actuary (TC).
B. The Deputy Chief Actuary (Short-Range) (TC).
C. The Deputy Chief Actuary (Long-Range) (TC).
D. The Immediate Office of the Chief Actuary (TCA).
E. The Office of Short-Range Actuarial Estimates (TCB).
F. The Office of Long-Range Actuarial Estimates (TCC).
Section TC.20 The Office of the Chief Actuary--(Functions):
A. The Chief Actuary (TC) is directly responsible to the
Commissioner for carrying out OCACT's mission and for providing
supervision to the major components of OCACT.
B. The Deputy Chief Actuary (Short-Range) (TC) assists the Chief
Actuary in carrying out his/her OCACT-wide responsibilities and
performs other duties as prescribed.
C. The Deputy Chief Actuary (Long-Range) (TC) assists the Chief
Actuary in carrying out his/her OCACT-wide responsibilities and
performs other duties as prescribed.
D. The Immediate Office of the Chief Actuary (TCA) provides the
Chief Actuary and his/her Deputies with staff assistance on the full
range of their responsibilities; provides liaison and coordination; and
conducts special actuarial studies and analyses.
E. The Office of Short-Range Actuarial Estimates (TCB) is
responsible for planning, directing and coordinating the development of
short-range cost estimates for all Social Security programs both under
current provisions and proposed changes in law or regulation. The
programs for which estimates are prepared include the retirement,
survivors and disability insurance program, and the supplemental
security income program. Develops special cost analyses involving
technical actuarial issues; projects operations of the Trust Funds;
provides a variety of data services including data collection,
statistical support; and prepares estimates for general fund and
interprogram reimbursement.
F. The Office of Long-Range Actuarial Estimates (TCC) is
responsible for planning, directing and coordinating the development of
long-range cost estimates for the retirement, survivors and disability
program both under current provisions and proposed changes in law or
regulation. Provides all revenue estimates in both the near-term and
the long-term for the retirement, survivors and disability insurance
program and in the near-term for the hospital insurance program.
Designs the economic, demographic and programmatic assumptions and the
methods needed to develop these estimates; analyzes and publishes
actuarial research based on projections and actual program experience;
and provides authoritative advice to agency policy makers and
congressional staffs relating to the long-range actuarial impact of
current law and proposed program changes.
ADD new chapter.
Chapter TE--Office of the Deputy Commissioner, Communications
TE.00 Mission
TE.10 Organization
TE.20 Functions
Section TE.00 The Office of the Deputy Commissioner,
Communications--(Mission): The Office of the Deputy Commissioner,
Communications (ODCCOMM) directs a program to develop and preserve
working relationships with a wide variety of national organizations,
special interest and advocacy groups, the media, other Federal agencies
and State and local governments, for purposes of securing
understanding, cooperation and acceptance of SSA programs, policies and
procedures and for providing avenues of public participation in the
decision making processes of SSA. Plans, directs, coordinates, effects
and evaluates SSA's nationwide public communications program and
activities. Develops public information programs and materials to
ensure public knowledge and understanding of protections, rights and
responsibilities under the programs administered by SSA. Plans,
directs, implements and evaluates SSA's internal communications
programs. Directs SSA's Satellite Communications Network activities.
Coordinates the non-English communications activities within SSA.
Provides a central receipt, control, acknowledgment, response, and
referral program for all public inquiries. Serves as the focal point
for conducting Focus Groups and coordinates public relations activities
for SSA.
Section TE.10 The Office of the Deputy Commissioner,
Communications--(Organization): The Office of the Deputy Commissioner,
Communications, under the leadership of the Deputy Commissioner,
Communications, includes:
A. The Deputy Commissioner, Communications (TE).
B. The Assistant Deputy Commissioner, Communications (TE).
C. The Immediate Office of the Deputy Commissioner, Communications
(TEA).
D. The Office of Communications Technology (TEB).
1. The Visual Graphics and Community Affairs Staff (TEB1).
2. The Audiovisual Media Operations Staff (TEB2).
E. The Office of Editorial Policy and Communications (TEC).
1. The Editorial Policy and Communications Staff (TEC1).
2. The Special Communications Staff (TEC2).
F. The Office of National Affairs (TEE).
G. The Office of Regional Affairs and Special Projects (TEG).
H. The Office of Public Inquiries (TEH).
1. The Policy, Procedures and Systems Group (TEH1).
2. The Correspondence Analysis and Response Group (TEH2).
Section TE.20 The Office of the Deputy Commissioner,
Communications--(Functions):
A. The Deputy Commissioner, Communications (TE) is directly
responsible to the Commissioner for carrying out ODCCOMM's mission and
providing managerial direction to the major components of ODCCOMM.
B. The Assistant Deputy Commissioner, Communications (TE) assists
the Deputy Commissioner in carrying out his/her responsibilities and
performs other duties as the Deputy Commissioner may prescribe.
C. The Immediate Office of the Deputy Commissioner, Communications
(TEA) provides the Deputy Commissioner and Assistant Deputy
Commissioner with staff assistance on the full range of their
responsibilities.
D. The Office of Communications Technology (TEB) directs and
implements technical information communications for the Agency.
Develops the Agency's goals and objectives for using the media to
[[Page 35846]]
promote SSA programs and policies. Is responsible for the design and
production of audiovisual and graphics materials. Utilizes state-of-
the-art technological theories, principles and methodologies in
determining and creating the most effective means of communicating the
Agency's information.
1. The Visual Graphics and Community Affairs Staff (TEB1).
a. Plans, designs and produces Agency display, presentation, media
and photographic materials for internal and external public information
programs.
b. Produces materials in various media formats for the observance
of special ceremonial events.
c. Plans and implements a program of community liaison in the
Baltimore/Washington metropolitan area.
2. The Audiovisual Media Operations Staff (TEB2).
a. Plans, develops and directs electronic systems required for the
Agency's television and audiovisual productions and management
communications.
b. Coordinates all technical activities related to the Agency's
television and audiovisual production system.
c. Plans, writes, directs and edits motion picture and television
productions covering all aspects of Social Security for public
information, SSA training and management information purposes.
d. Plans, designs and coordinates satellite communication programs
for SSA and other agencies nationwide.
E. The Office of Editorial Policy and Communications (TEC) directs
SSA's information activities to ensure public knowledge and
understanding of programs administered by SSA. Develops and evaluates
goals, objectives, policies, standards and guidelines for SSA public
information needs, and carries out programs to inform the public of the
purposes and provisions of SSA-administered programs, program changes
and people's rights and responsibilities under these programs. Prepares
and determines distribution of a wide variety of public information
materials on all phases of SSA-administered programs, evaluates the
quality of informational materials to ensure a high-quality product and
helps in public affairs training in SSA.
1. The Editorial Policy and Communications Staff (TEC1).
a. Develops and evaluates goals and objectives, policies, standards
and guidelines for SSA public information needs. Prepares public
information workplans and SSA's National Communications objectives.
b. Provides direction and quality control of information materials
for the administration of SSA public affairs and public information
programs.
c. Writes, edits and produces a variety of public information
materials. Provides advice and consultation to other components on
editorial policy and methods of initiating and developing informational
programs.
d. Conducts editorial reviews and approves content, format and
style of Social Security information materials for use in all media.
e. Plans and conducts a public information management program.
Determines public information strategies for a wide variety of public
information materials on all phases of SSA-administered programs.
f. Designs and conducts broad evaluation programs, incorporating
and coordinating various evaluation methods, techniques and efforts.
2. The Special Communications Staff (TEC2).
a. Directs the internal communications program in SSA. Publishes a
variety of informational materials, including a monthly national
employee magazine and Central Office Bulletin. Prepares and edits
administrative reports and presentations.
b. Provides assistance to and appraises internal communications
activities in SSA field organizations. Identifies weaknesses in
communications SSA-wide and recommends improvements.
F. The Office of National Affairs (TEE) implements and directs
programs designed to develop and preserve working relationships with a
wide variety of national organizations, special interest and advocacy
groups, other Federal agencies and State and local governments.
Presents, explains, advocates and defends the views and objectives of
SSA. Provides the avenue for bringing the views and opinions of
influential organizations into the Agency. Is responsible for reviewing
and considering the validity of SSA-related issues and concerns raised
by a variety of external sources and recommending changes or referring
the matter to other SSA components for further study. Facilitates
operational dealings between these organizations and other SSA
components.
G. The Office of Regional Affairs and Special Projects (TEG)
provides onsite leadership and direction to the regional SSA public
communications program. Analyzes and evaluates regional public
communications activities and issues national public communications
policies. Plans and coordinates the development of regional policies,
directives and procedures concerning the relationships of SSA programs
to public and private welfare and community service programs. Oversees
the regional public information program. Prepares and disseminates
public information materials. Coordinates the development and
implementation of regional information and referral programs. Advises
the Regional Public Affairs Officers in carrying out SSA public
information policy, plans and activities. Provides guidance and assists
in interpreting, analyzing and evaluating public communications/public
information needs of the regions. Performs research to assess the
public's and SSA employees' reactions to, and perceptions of, policies,
products and services through content analysis and other evaluation
studies/activities.
H. The Office of Public Inquiries (TEH) provides a central receipt,
control, acknowledgment, response and referral program for high
priority and other inquiries addressed to SSA Headquarters. Develops
correspondence policy and procedure and guide language on recurring
topics and issues for use throughout the Agency.
1. The Policy, Procedures and Systems Group (TEH1) develops policy
and procedures concerning the style, control, workflow and signature of
correspondence and disseminates the information to headquarters
components. Performs a pre-release quality review of final replies
prepared in the Office of Public Inquiries (OPI) to ensure that they
are well-written, accurate and responsive. Designs and administers
OPI's electronic correspondence management system and provides support
to system users. Directs surveys and analyses to increase the
effectiveness of the correspondence workflow process throughout SSA.
2. The Correspondence Analysis and Response Group (TEH2) collects,
stores and maintains information needed to respond to congressional,
White House and public inquiries. Prepares responses in conformance
with SSA standards, policies and procedures. Performs correspondence
receipt, screening, imaging, routing and letter-writing functions.
Identifies sensitive inquiries and trends and reports them to
appropriate officials. Receives and responds to telephone inquiries.
REISSUE chapter.
Chapter TA--Office of the Deputy Commissioner, Programs and Policy
TA.00 Mission
[[Page 35847]]
TA.10 Organization
TA.20 Functions
Section TA.00 The Office of the Deputy Commissioner, Programs and
Policy--(Mission): The Office of the Deputy Commissioner, Programs and
Policy (ODCPP) directs the formulation of overall program policy for
SSA. Directs the formulation and issuance of program objectives.
Directs and manages the planning, development, issuance and evaluation
of program and operational policies, standards and instructions for the
retirement and survivors insurance, disability insurance and
supplemental security income programs. Serves as a focal point for
international program policy issues and activities. Oversees Agency
hearings and appeals activities. Serves as a focal point for all
program-related litigation. Oversees the collection, use and
dissemination of both personal and non-personal information to ensure
consistency with Agency objectives, law and the expectations of the
American public. Provides information on the effects on individuals and
the economy of programs operated by SSA and the interactions among
these programs, other tax and income-transfer programs and economic and
demographic forces. Through an Executive Team, provides executive
leadership for unified planning and resource management within ODCPP.
Provides leadership to ODCPP's financial, personnel and administrative
management programs.
Section TA.10 The Office of the Deputy Commissioner, Programs and
Policy--(Organization): The Office of the Deputy Commissioner, Programs
and Policy under the leadership of the Deputy Commissioner, Programs
and Policy includes:
A. The Deputy Commissioner, Programs and Policy (TA).
B. The Assistant Deputy Commissioner, Programs and Policy (TA).
C. The Immediate Office of the Deputy Commissioner, Programs and
Policy (TAA).
D. The Office of Policy and Planning (TAR).
E. The Office of Disability (TAE).
F. The Office of Hearings and Appeals (TAH).
G. The Office of International Policy (TAJ).
H. The Office of Research, Evaluation and Statistics (TAN).
I. The Office of Program Benefits Policy (TAP).
J. The Office of Program Support (TAS).
Section TA.20 The Office of the Deputy Commissioner, Programs and
Policy--(Functions):
A. The Deputy Commissioner, Programs and Policy (TA) is directly
responsible to the Commissioner for carrying out the ODCPP mission and
for providing general supervision to the major components of ODCPP.
B. The Assistant Deputy Commissioner, Programs and Policy (TA)
assists the Deputy Commissioner in carrying out his/her
responsibilities and performs other duties as the Deputy Commissioner
may prescribe.
C. The Immediate Office of the Deputy Commissioner, Programs and
Policy (TAA) provides the Deputy Commissioner with staff assistance on
the full range of his/her responsibilities.
D. The Office of Policy and Planning (TAR) provides Agency
leadership in the policy-making process and manages all planning
activities for the Deputy Commissioner. Serves as Agency liaison with
the wider social welfare policy-making community in the public and
private sectors, including the Office of Management and Budget, other
governmental agencies and private sector committees and groups. In
conjunction with the Office of Legislation and Congressional Affairs
develops the Agency's legislative program and addresses items of
congressional concern. Directs a comprehensive ODCPP program to address
policy-related issues. Ensures the integration of the Agency's policy
development and analysis activities and its program evaluation and
research plans. Conducts broad analyses of major social and economic
trends and their impact on social security program policy. Conducts
targeted evaluations of the effectiveness and appropriateness of
specific current and/or proposed social welfare policy features of
programmatic or operational concern. Applies the results of Agency
analyses to position the Agency's leaders to participate fully and
knowledgeably in various social welfare policy forums (e.g., internal
Administration policy debates, congressional hearings and debates,
Advisory Board deliberations). Develops and implements the Agency's
programmatic litigation strategy and directs the management of all
related litigation activities within SSA. Assures programmatic support
to legislative planning activities. Provides staff support to the ODCPP
Executive Team.
E. The Office of Disability (TAE) develops, coordinates and
evaluates the disability program and issues related operational
policies, standards and procedures. Develops and issues policies and
guidelines for use by State and Federal or private contractor providers
which implement the disability provisions of the Social Security Act,
as amended. Ensures that interrelated program policy and procedural
areas are coordinated.
F. The Office of Hearings and Appeals (TAH) holds hearings and
issues decisions as part of the SSA appeals process. Directs a
nationwide field organization which conducts impartial hearings and
makes decisions on appealed determinations involving retirement,
survivors, disability, health insurance, black lung and supplemental
security income benefits. Performs central office reviews of decisions.
G. The Office of International Policy (TAJ) serves as SSA's focal
point for international program policy matters and for its
participation in the international Social Security community. Serves as
liaison to international agencies and associations which deal with
Social Security matters. Negotiates international Social Security
(totalization) agreements with foreign governments and develops
policies and procedures to implement the agreements. Develops and
implements policies and procedures relating to the operation of the
Social Security program outside the United States. Provides training
programs and technical consultation on Social Security and related
fields to Social Security officials and other experts outside the
United States. Serves as liaison with other Federal agencies, such as
the Department of State and the Department of the Treasury, on Social
Security matters outside the United States.
H. The Office of Research, Evaluation and Statistics (TAN) is
responsible for providing information on the effects on individuals and
the economy of programs operated by SSA and the interactions among
these programs, other tax and income-transfer programs and economic,
social and demographic forces. Plans and directs a continuing program
of economic and social research to evaluate the effectiveness of
national policies in meeting desired program outcomes. Plans and
directs studies and surveys to evaluate the effectiveness of policy
development, implementation and program outcomes of the disability,
retirement and survivors and supplemental security income programs.
I. The Office of Program Benefits Policy (TAP) develops,
coordinates and evaluates the retirement and survivors insurance and
supplemental security income programs and issues related operational
policies, standards and instructions. Develops and issues policies and
guidelines for use by State and Federal organizations which implement
supplemental security income provisions. Develops
[[Page 35848]]
agreements with the States that govern State supplementation programs,
Medicaid eligibility, data exchange programs, food stamps and fiscal
reporting processes.
J. The Office of Program Support (TAS) provides leadership in
overseeing the Agency's system of programmatic instructions, notices to
the public and technical documents. Develops and maintains standards
governing the translation of policy decisions into operational
policies, procedures and notices. Responsible for the Agency's
Regulatory Program, including development of SSA's Regulatory Plan and
the Agency's portion of the Unified Agenda of Federal Regulations.
Oversees the Agency's implementation of policies which utilize
technologies in providing service to the public and provides program
management of such technological applications. Assures programmatic
support to legislative implementation activities. Develops and
interprets SSA policy governing requests for disclosure of information
from Agency records under the provisions of the Privacy Act and the
Freedom of Information Act. Sponsors and supports ODCPP
Interdisciplinary Teams established to address cross-cutting policy
issues and initiatives. Designs, implements and maintains automated
information and communications systems ODCPP-wide.
Subchapter TAR--Office of Policy and Planning
TAR.00 Mission
TAR.10 Organization
TAR.20 Functions
Section TAR.00 The Office of Policy and Planning--(Mission): The
Office of Policy and Planning provides Agency leadership in the policy-
making process and manages all planning activities for the Deputy
Commissioner. Serves as Agency liaison with the wider social welfare
policy-making community in the public and private sectors, including
the Office of Management and Budget, other governmental agencies and
private sector committees and groups. In conjunction with the Office of
Legislation and Congressional Affairs develops the Agency's legislative
program and addresses items of congressional concern. Directs a
comprehensive ODCPP program to address policy-related issues. Ensures
the integration of the Agency's policy development and analysis
activities and its program evaluation and research plans. Conducts
broad analyses of major social and economic trends and their impact on
social security program policy. Conducts targeted evaluations of the
effectiveness and appropriateness of specific current and/or proposed
social welfare policy features of programmatic or operational concern.
Applies the results of Agency analyses to position the Agency's leaders
to participate fully and knowledgeably in various social welfare policy
forums (e.g., internal Administration policy debates, congressional
hearings and debates, Advisory Board deliberations). Develops and
implements the Agency's programmatic litigation strategy and directs
the management of all related litigation activities within SSA. Assures
programmatic support to legislative planning activities. Provides staff
support to the ODCPP Executive Team. Section TAR.10 The Office of
Policy and Planning--Organization): The Office of Policy and Planning,
under the leadership of the Associate Commissioner for Policy and
Planning, includes:
A. The Associate Commissioner for Policy and Planning (TAR).
B. The Deputy Associate Commissioner for Policy and Planning (TAR).
C. The Immediate Office of the Associate Commissioner for Policy
and Planning (TAR).
Section TAR .20 The Office of Policy and Planning--(Functions):
A. The Associate Commissioner for Policy and Planning (TAR) is
directly responsible to the Deputy Commissioner, Programs and Policy
for carrying out OPP's mission and providing managerial direction to
OPP.
B. The Deputy Associate Commissioner for Policy and Planning
assists the Associate Commissioner in carrying out his/her
responsibilities and performs other duties as the Associate
Commissioner may prescribe.
C. The Immediate Office of the Associate Commissioner for Policy
and Planning (TAR) provides the Associate Commissioner with staff
assistance on the full range of his/her responsibilities.
1. Serves as Agency liaison with the wider social welfare policy-
making community in the public and private sectors, including the
Office of Management and Budget, other governmental agencies and
private sector committees and groups.
2. In conjunction with the Office of Legislation and Congressional
Affairs develops the Agency's legislative program and addresses items
of congressional concern.
3. Directs a comprehensive ODCPP program to address policy-related
issues, ensuring the integration of the Agency's policy development and
analysis activities and its program evaluation and research plans.
4. Conducts broad analyses of major social and economic trends and
their impact on social security program policy.
5. Conducts targeted evaluations of the effectiveness and
appropriateness of specific current and/or proposed social welfare
policy features of programmatic or operational concern. Applies the
results of Agency analyses to position the Agency's leaders to
participate fully and knowledgeably in various social welfare policy
forums.
6. Develops and implements the Agency's programmatic litigation
strategy and directs the management of all related litigation
activities within SSA.
7. Assures programmatic support to legislative planning activities.
8. Provides staff support to the ODCPP Executive Team.
Subchapter TAE--Office of Disability
TAE.00 Mission
TAE.10 Organization
TAE.20 Functions
Section TAE.00 The Office of Disability--(Mission): The Office of
Disability (OD) plans, develops, evaluates and issues the operational
and administrative appeals process policies, standards and instructions
for the SSA administered disability programs. Develops and promulgates
policies and guidelines for use by State, Federal or private contractor
providers which implement the disability provisions of the Social
Security Act as amended. Provides operational policy advice, technical
support and management direction to central office, regional office and
field components in the administration of the disability programs.
Evaluates the effects of proposed legislation and legislation pending
before Congress to determine the impact on the disability programs.
Ensures that interrelated policy areas are coordinated. Processes State
agency workloads on a temporary or transitional basis.
Section TAE.10 The Office of Disability--(Organization): The
Office of Disability under the leadership of the Associate Commissioner
for Disability, includes:
A. The Associate Commissioner for Disability (TAE).
B. The Deputy Associate Commissioner(s) for Disability (TAE).
C. The Immediate Office of the Associate Commissioner for
Disability (TAE).
D. The Federal Disability Determination Services (TAEB).
E. The Division of Medical and Vocational Policy (TAEC).
[[Page 35849]]
F. The Division of Field Disability Operations (TAEE).
G. The Division of Disability Process Policy (TAEG).
H. The Division of Disability Program Information and Studies
(TAEH).
I. The Division of Employment and Rehabilitation Programs (TAEJ).
Section TAE.20 The Office of Disability--(Functions):
A. The Associate Commissioner for Disability (TAE) is directly
responsible to the Deputy Commissioner, Programs and Policy for
carrying out OD's mission and provides general supervision to the major
components of OD.
B. The Deputy Associate Commissioner(s) for Disability (TAE)
assists the Associate Commissioner in carrying out his/her
responsibilities and performs other duties as the Associate
Commissioner may prescribe.
C. The Immediate Office of the Associate Commissioner for
Disability (TAE) provides the Associate Commissioner and the Deputy
Associate Commissioner(s) with advisory services and staff assistance
on the full range of their responsibilities and coordinates the
administrative and program activities of OD components.
D. The Federal Disability Determination Services (TAEB):
1. Develops and adjudicates disability determinations either
temporarily as help for one or more Disability Determination Services
(DDS) or as a transition until a permanent alternative case processing
operation is fully operational in the event that SSA must assume the
disability determination function for a State because of noncompliance
with regulations and guidelines, or voluntary withdrawal.
2. Pilot tests new work processes, procedures and systems prior to
nationwide implementation; validates and conducts useability tests on
new and/or revised systems processes; evaluates new or revised
disability adjudication policies for national consistency and practical
application; and conducts special studies and policy reviews required
for management purposes.
3. Reviews and makes disability decisions on applications for
disability under Title II and Title XVI of the Social Security Act on
initial applications, on reconsideration requests and continuing
disability.
4. Screens disability applicants for, and makes referrals to,
vocational rehabilitation (VR) agencies; develops and evaluates
medical/vocational evidence; and arranges for procurement and payment
of such evidence, as required.
5. Reviews State hearing officer and Federal hearing officer
decisions; prepares decisions on foreign claims and revises hearing
officers' determinations in accordance with the regulations at 404.918
and 416.1418; participates in hearing process studies; and prepares
statistical and narrative reports and recommendations for training and
policy and procedural changes based on case review and analysis or
study findings.
6. In conjunction with the Division of Medical and Vocational
Policy, provides medical consultation required in the formulation of
medical evaluation policies and guides. Conducts medical reviews of
evidence for purposes of adjudication of medical aspects of claims, as
part of an evaluation of the application of policies and procedures
and/or as part of a study to develop new medical policies, guides and
training.
E. The Division of Medical and Vocational Policy (TAEC).
1. Develops broad medical concepts and policies for the
administration of the Title II and Title XVI programs, and provides
consultation for research evaluating impairment severity and
disability.
2. Provides leadership and professional direction to Regional
Medical Officers and consultants, and to State Disability Determination
Services (DDS) medical personnel engaged in Title II and Title XVI
related activities.
3. Provides medical consultation required in the formulation of
medical evaluation policies and guides and develops orientation and
training programs for medical personnel in regional offices and State
DDS's.
4. Develops, evaluates, implements and maintains medical policy for
deciding disability claims for all body systems to be used at all
adjudicative levels.
5. Develops, evaluates, implements and maintains policy for
deciding disability claims, including such areas as residual functional
capacity, medical improvement review standard and other continuing
disability issues, onset, duration, weighing of evidence and other
issues affecting disability claims at all adjudicative levels.
6. Develops, evaluates, implements and maintains policy for all
vocational issues, such as age, education, work experience the
vocational rules and work evaluations which are used to decide
disability claims at all adjudicative levels.
7. Develops, evaluates, implements and maintains all policy used to
decide disability in childhood disability claims, including the
childhood Listings of Impairments, individualized functional assessment
and functional equivalency for all adjudicative levels.
8. Coordinates recommendations concerning which court decisions
should be appealed; coordinates development of responses to
interrogatories and court orders; and ensures that policies and
procedures are changed to reflect specific court orders and legal
precedents.
F. The Division of Field Disability Operations (TAEE).
1. Provides national guidance for the administrative aspects of the
disability determination function whether administered through State
DDS, contracted out to the private sector, or accomplished by
designated SSA organizational components.
2. Develops pertinent policies, regulations and procedures by
establishing standards and guides for performance; monitoring
performance; initiating corrective action where needed; coordinating
workloads and administering the funds for the DDSs, etc. Conducts such
studies and reviews as are necessary to the disability determination
function.
3. Works through SSA regional offices, interested national
organizations and other SSA central office components to accomplish
objectives or, in special situations, works directly with the component
performing the disability determination function.
4. Plans, coordinates and manages the Office of Disability systems
related activities, including DDS and Federal Disability Determination
Services automation, information resource management, expert systems,
development of user specifications, and installation and testing of
hardware, networks and communications links for DDSs.
5. Analyzes, plans, distributes and monitors all DDS funding on a
State-by-State basis. This includes establishing and monitoring
workload and productivity targets for each DDS.
G. The Division of Disability Process Policy (TAEL).
1. Develops procedures and instructions for the disability
provisions of other programs including certain Title XVI and XVIII
provisions unique to the disability programs. Maintains the integrity
of the consultative examination process by developing regulations and
conducting oversight activities.
2. Develops and issues the policies, procedures and instructions
relating to the development of nonmedical evidence and the processing
of initial disability claims and fraud situations. Develops policy
guidelines and technical procedures for the Continuing Disability
Review process and oversees
[[Page 35850]]
this process. Prepares Office of Disability positions for response to
court suits against SSA on disability cases.
3. Develops the procedures and instructions which define the
administrative appeals process, including policies and procedures for
the disability hearings process. Develops notice policy and issues
language and forms for use in disability claims and notices including
foreign language and Braille notices.
4. Carries out professional relations efforts in support of SSA's
efforts to gain support from professional medical associations.
Maintains liaison and assists with professional relations efforts to
gain the support of nonvocational rehabilitation advocacy groups,
Federal, State and local agencies and the public and provides guidance
and assistance on disability professional relations issues to the SSA
regional and Disability Determination Services' field networks.
H. Division of Disability Program Information and Studies (TACH).
1. Conducts studies on the disabled population and recipients
relative to specific operational/administrative program issues.
2. Designs evaluation systems for and evaluates demonstration
projects.
3. Develops and maintains data bases for statistical activities and
program information. Provides recurring and specialized reports, and
coordinates information requirements.
I. The Division of Employment and Rehabilitation Programs (TAEJ).
1. Implements the provisions of the Social Security Act which call
for the referral of beneficiaries and recipients to the State or
alternate vocational rehabilitation (VR) providers, evaluates VR
provider services, reimburses VR providers for successful
rehabilitations, ensures that client participation in a program is
appropriate and meets the requirements of the Act and develops
proposals and plans for new VR initiatives.
2. Implements and evaluates test models for delivering
rehabilitation, job placement and post-employment services and for
making appropriate referrals to public and private agencies.
Administers contracts to support projects.
3. Develops initiatives to promote public understanding and use of
work incentives through enhanced outreach activities and by building
networks with community-based agencies and service providers.
4. Prepares and revises regulations, operating policies and
training materials. Develops proposals and plans for new work
incentives.
5. Develops procedures and instructions for implementation of the
drug addiction and alcoholism referral and monitoring provisions.
Administers agreements implementing the provisions.
6. Maintains liaison and assists professional relations efforts to
gain the support of private advocacy groups, Federal, State and local
agencies and the public and provides guidance and assistance on
disability professional relations issues to the SSA regional and
Disability Determination Services' field networks.
Subchapter TAH Office of Hearings and Appeals
TAH.00 Mission
TAH.10 Organization
TAH.20 Functions
Section TAH.00 The Office of Hearings and Appeals--(Mission): The
Office of Hearings and Appeals (OHA) administers the nationwide
hearings and appeals program for SSA. Provides the basic mechanisms
through which individuals and organizations dissatisfied with
determinations affecting their rights to and amounts of benefits or
their participation in programs under the Social Security Act may
administratively appeal these determinations in accordance with the
requirements of the Administrative Procedure and Social Security Acts.
OHA includes a nationwide field organization staffed with
Administrative Law Judges (ALJs) who conduct impartial hearings and
make decisions on appeals filed by claimants, their representatives,
providers-of-service institutions and others under the Social Security
Act. The Appeals Council of OHA impartially reviews ALJ decisions,
either on the Appeals Council's own motion or at the request of the
claimant, and renders the Commissioner's final decision when review is
taken. Reviews new court cases to determine whether the case should be
defended on the record or the Commissioner should seek voluntary
remand, and reviews final court decisions in light of the programmatic
and administrative implications involved and makes recommendations as
to whether appeal should be sought. Provides advice and recommendations
on Social Security Administration program policy and related matters,
including proposed Social Security Rulings.
Section TAH.10 The Office of Hearings and Appeals--(Organization):
The Office of Hearings and Appeals, under the leadership of the
Associate Commissioner for Hearings and Appeals, includes:
A. The Associate Commissioner for Hearings and Appeals (TAH).
B. The Deputy Associate Commissioner for Hearings and Appeals
(TAH).
C. The Immediate Office of the Associate Commissioner for Hearings
and Appeals (TAH) which includes:
1. The Executive Secretariat (TAH-1).
2. The Special Counsel Staff (TAH-2).
D. The Office of the Chief Administrative Law Judge (TAHA).
1. The Division of Field Operations and Liaison (TAHAl).
2. The Division of Field Practices and Procedures (TAHA2).
3. The Vocational Expert and Medical Advisor Staff (TAHA3).
4. The Division of Medicare Part B (TAHA4).
E. The Offices of the Regional Chief Administrative Law Judges
(TAH-F1--TAH-FX).
F. The Office of Appellate Operations (TAHB), which includes the
Executive Director who also serves as Deputy Chair of the Appeals
Council, the Appeals Council and its Administrative Appeals Judges,
Appeals Officers, a Deputy Director to the Executive Director, and a
Director of Operations.
1. The Operations Management, Analysis and Coordination Staff
(TAHB1).
2. The Division of Program Support (TAHB2).
3. The Medical Support Staff (TAHB3).
4.-22. The Disability Program Branches l-19 (TAHB4-9 and TAHBA-Q).
23.-24. The Court Case Preparation and Review Branches 1-2 (TAHBR-
S).
25. The Division of Retirement and Survivors Insurance,
Supplemental Security Income and Health Insurance (TAHBT).
G. The Office of Policy, Planning and Evaluation (TAHC).
1. The Division of Litigation Analysis and Implementation (TAHC1).
2. The Division of Planning and Evaluation (TAHC2).
3. The Division of Policy (TAHC3).
H. The Office of Management (TAHE).
1. The Equal Employment Opportunity Staff (TAHE1).
2. The Division of Congressional and Public Inquiries (TAHE2).
3. The Division of Budget and Financial Management (TAHE3).
4. The Division of Materiel Resources (TAHE4).
5. The Division of Systems Resources (TAHE5).
6. The Division of Management Analysis and Employee Development
(TAHE6).
Section TAH.20. The Office of Hearings and Appeals--(Functions):
A. The Associate Commissioner of Hearings and Appeals (TAH) is
directly
[[Page 35851]]
responsible to the Deputy Commissioner for Programs and Policy for
carrying out OHA's mission of holding hearings and rendering decisions
on appeals filed under Titles II, XVI, and XVIII of the Social Security
Act, as amended, and Title IV of the Federal Coal Mine Health and
Safety Act of l969, as amended. The Associate Commissioner is
responsible for planning, directing, managing, coordinating and
maintaining the integrity of the nationwide SSA hearings and appeals
system. As Chair of the Appeals Council, the Associate Commissioner is
responsible for the decisions issued at the final administrative level
of the Social Security Administration.
B. The Deputy Associate Commissioner for Hearings and Appeals (TAH)
assists the Associate Commissioner in carrying out his/her OHA-wide
responsibilities and performs other duties as the Associate
Commissioner may prescribe.
C. The Immediate Office of the Associate Commissioner for Hearings
and Appeals (TAH) provides the
Associate Commissioner and the Deputy Associate Commissioner with
staff assistance on the full range of their responsibilities.
1. The Executive Secretariat (TAH-l) is the liaison and
coordination point between the Office of the Associate Commissioner and
major SSA and OHA components. It serves as the primary point of contact
with the Office of the Commissioner, ODCPP, other Deputy and Associate
Commissioners and other top SSA staff for sensitive and urgent matters
and to ensure OHA support to those officials.
2. The Special Counsel Staff (TAH-2) serves as professional legal
advisor to the Associate Commissioner, OHA, and to other members of the
OHA Executive Staff on all matters pertaining to the legislative
process, labor relations law, ethics and administrative law, with
special emphasis on the Administrative Procedure Act.
D. The Office of the Chief Administrative Law Judge (TAHA) serves
as the principal consultant and advisor to the Associate Commissioner
on all matters concerning the Administrative Law Judge (ALJ) hearing
function. Under the executive leadership of the Associate Commissioner,
the Chief Administrative Law Judge manages and administers a hearings
organization consisting of a nationwide network of hearing offices and
supporting regional offices nationwide. The Chief Administrative Law
Judge has primary responsibility for maintaining effective channels of
communication between the Associate Commissioner and the Regional Chief
Administrative Law Judges (RCALJs) and the ALJ corps. Formulates and
develops broad policies and objectives and establishes program goals
for OHA's ALJ corps. Maintains a continuous review of all aspects of
OHA field operations and implements improvements where needed. Is
responsible for developing and maintaining the procedures for effective
operation of the hearings process. Provides management oversight for
all administrative and managerial functions involved in the day-to-day
operations of field activities; coordinates regional and hearing office
activities; prepares, reviews and drafts decisions and dismissals in
Medicare Part B cases; and conducts liaison with other government and
private agencies on issues falling within the Office's area of
responsibility.
1. The Division of Field Operations and Liaison
(TAHA1) serves as liaison for the field with all headquarters
components, and provides advice, guidance and counsel to field units in
all areas of identified needs. Assists the Chief Administrative Law
Judge in setting field office objectives. Analyzes field resource
needs, including staffing, equipment, training and travel and
recommends resource allocations to meet those needs. Represents the
field on ongoing or ad hoc workgroups, task forces, etc.
2. The Division of Field Practices and Procedures (TAHA2)
formulates, develops, communicates and oversees field practices and
procedures governing the conduct of the hearing process and other
program operations issues in response to the Associate Commissioner,
the Chief Administrative Law Judge, or other OHA management officials,
as well as a result of court orders and/or changes in the law and
regulations.
3. The Vocational Expert and Medical Expert Staff (TAHA3)
formulates, develops and oversees the national program for recruitment
and use of Vocational Experts and Medical Experts at hearings before
Administrative Law Judges. On an ongoing basis, monitors Regional and
Hearing Office operations regarding the program and when appropriate
provides guidance and makes necessary changes.
4. The Division of Medicare Part B (TAHA4) processes Medicare Part
B cases on receipt from Health Care Financing Administration (HCFA)
contractors. Researches the law, regulations and relevant policy to
resolve case-related issues as necessary. Drafts all decisions where an
on-the-record decision is requested and drafts decisions where hearings
are held by an Administrative Law Judge who is attached directly to the
division. Provides technical and staff assistance to the Chief
Administrative Law Judge and all Administrative Law Judges concerning
the adjudication of Medicare Part B cases.
E. Each Office of the Regional Chief Administrative Law Judge (TAH-
F1--TAH-FX) acts on behalf of the Associate Commissioner and the Chief
Administrative Law Judge at the respective regional levels on all
matters involving the hearings process and is directly responsible for
the effective execution of the hearings process within the region.
Provides direction, leadership, management and guidance to the regional
office staff and to the hearing offices in the region, including
Administrative Law Judges and their staffs. Is responsible for the
regional implementation of national policies, goals, objectives, and
procedures pertaining to the hearings process, and formulates policies,
goals, and objectives for the ALJs and support staff in the region.
Develops and recommends OHA action with respect to allegations of
unfair hearings within the region. Is responsible for evaluating the
effectiveness of regional and hearing office management. Reviews
hearing practices and procedures to detect trends, training needs, and
operational problems. Investigates allegations of improper employee
conduct, and makes recommendations as to necessary corrective action.
Has responsibility for the acquisition and distribution of human and
materiel resources within the region. Coordinates operational and
administrative activities with SSA regional offices, other SSA regional
components, State Agencies, and others, as necessary. Establishes a
program to maintain ongoing communication with congressional offices on
issues of mutual interest and ensures timely and accurate responses to
congressional inquiries. Ensures that court remands are processed
efficiently within the region, and coordinates with the Office of the
Chief Counsel in the region to foster OHA compliance with court
requirements. Serves as an expert advisor on substantive issues within
the region, and upon request by ALJs, provides advice and guidance in
matters relating to adjudicating cases under the provisions of the
Social Security Act, as amended. Reviews and analyzes fee petitions
from attorneys and representatives of claimants for the provision of
services at the hearing level, and authorizes payment of fees in those
cases where the fees are beyond
[[Page 35852]]
the authority of a hearing office Administrative Law Judge.
F. The Office of Appellate Operations (TAHB) consists of the
Appeals Council and its support staff. In accordance with a direct
delegation of authority from the Commissioner of Social Security, the
Appeals Council is the final level of administrative review under the
Administrative Procedure Act for claims filed under Titles II, XVI, and
XVIII of the Social Security Act, as amended, and Title IV of the
Federal Coal Mine Health and Safety Act of 1969, as amended. The
Executive Director of the Office of Appellate Operations (OAO) is the
Deputy Chair of the Appeals Council and is responsible for the day-to-
day operations of a program of administrative review of ALJ decisions
issued under the provisions of the Social Security Act. Upon claimant
request or on the Appeals Council's own motion, OAO reviews ALJ
decisions and dismissals involving claims for benefits filed under
Titles II and XVI of the Social Security Act, as amended, health
insurance cases under Title XVIII of the Act, including claims for
individual enrollment to participate under Parts A and/or B of Title
XVIII and claims by hospitals, skilled nursing facilities and
independent laboratories seeking certification or continued
certification under the Act, and claims under Title IV of the Federal
Coal Mine Health and Safety Act of 1969, as amended, to determine if
jurisdiction exists, and, if so, takes appropriate action. The Appeals
Council identifies cases which represent broad policy matters or have
national impact, conducts oral hearings and acts to resolve the issues
in such cases, establishing binding adjudicatory standards and
decisional principles that govern OHA's adjudicatory process. Tracks
and analyzes court case trends and disseminates information to guide
adjudicators with respect to case law, to implement an effective
appeals strategy, and to identify areas and make recommendations as to
policies which need to be developed and/or clarified, new regulations
which need to be developed, or clarifying legislation which should be
sought.
1. The Operations Management, Analysis and Coordination Staff
(TAHB1) provides a comprehensive program of management analysis and
evaluative services to assist the Appeals Council in adjudicating
cases, to assist the Executive Director of OAO, and to assist the
support staff of the Appeals Council in performing their program review
function.
2. The Division of Program Support (TAHB2) under the direction of
the Director of Operations of OAO, provides support services to the
Appeals Council, including reconstruction of lost claim files and
receiving and analyzing fee petitions. Provides reprographic services
and controls transcription of hearing cassettes in preparation of the
official answer to civil actions filed against the Commissioner of SSA.
3. The Medical Support Staff (TAHB3) consists of staff physicians,
consulting physicians, and support staff and provides expert
professional judgment to the Appeals Council on individual disability
and health insurance claims. Provides informational, advisory and
consultant services to the Appeals Council and its support staff on
matters of interpretation and application of national policy on SSA and
OHA disability criteria and regulations. It reviews disability
evaluation training manuals for consistency and national uniformity,
represents OHA in contacts with appropriate professional affiliations,
and coordinates with the Office of Disability and International
Operations all matters of joint interest in the area of medical
disability evaluation.
4.-22. The Disability Program Branches 1-19 (TAHB4-9 and TAHBA-Q)
serve as support staff providing advice to the Appeals Council in its
review of ALJ decisions and dismissals involving claims for benefits.
Following an analysis of the record and any additional evidence and/or
argument submitted, and applying a thorough knowledge of the Act,
Regulations, Rulings and applicable case law, the staff in the program
review branches examine hearing decisions and other final actions of
the Administrative Law Judges, and requests for Appeals Council review,
and make recommendations to the Appeals Council as to what action
should be taken on cases pending before the Council. Analyze and
recommend action on cases remanded by the courts and those referred by
the Office of General Counsel for consideration of whether remand
should be requested at the Commissioner's motion. Recommend to OGC
defense on the record of certain litigated cases if further
administrative action is not warranted.
23.-24. The Court Case Preparation and Review Branches 1-2 (TAHBR-
S) serve as a support staff to OAO. Prepare remand orders and
affidavits and related correspondence on cases in which a complaint has
been filed in Federal court. Within published guidelines, recommend to
OGC defense on the record for certain litigated cases if further
administrative action is not warranted. Analyze and recommend action on
cases remanded by the courts. Prepare all court transcripts and control
and maintain all certified records of claims at the civil actions
level.
25. The Division of Retirement and Survivors Insurance,
Supplemental Security Income and Health Insurance (TAHBT) serves as a
support staff and provides advice to the Appeals Council in its review
of decisions and dismissals involving claims to establish entitlement
to Health Insurance benefits under Title XVIII of the Social Security
Act, including claims for individual enrollment to participate under
Parts A and/or B of Title XVIII and claims by hospitals, skilled
nursing facilities and independent laboratories seeking certification
under the Social Security Act, decisions and dismissals involving
claims to establish entitlement and the amount of benefits in old-age,
survivors and disability under Title II of the Social Security Act; and
claims to establish eligibility for and benefits payable in Title XVI
cases. Following an analysis of the record and any additional evidence
and/or argument submitted, and applying a thorough knowledge of the
Act, Regulations, Rulings and applicable case law, examines hearing
decisions and other final actions of the ALJ, and requests for Appeals
Council review, and makes recommendations to the Administrative Appeals
Judges as to what action should be taken on cases pending before the
Council whether before or after a civil action is filed.
G. The Office of Policy, Planning and Evaluation (TAHC) plans,
analyzes and develops OHA-wide policy for the hearings, appeals and
civil actions processes. Responsible for SSA policy with respect to
claimant representation and fees charged for their services. Manages
the overall OHA hearings and appeals process policy communications
system. Is responsible for OHA activity with respect to Social Security
regulations, including developing an OHA position with respect to
program regulations proposed by SSA components. Monitors OHA's
implementation of program regulations governing the hearings and
appeals process. Plans and conducts a comprehensive OHA-wide evaluation
program designed to support OHA policy and regulatory initiatives and
measure the overall effectiveness of the nationwide hearings and
appeals process. Provides advice and guidance throughout OHA on matters
involving program policies, planning and evaluation. Coordinates
policy, planning and evaluation matters within OHA, with OGC, other SSA
components, with HCFA and with other Federal agencies and private
[[Page 35853]]
organizations. Develops and coordinates program training in conjunction
with appropriate OHA, SSA, HCFA and OGC components. Develops and
implements an appeals strategy, in conjunction with other OHA
components, that identifies the issues and types of cases which OHA
believes should be appealed. Captures court trend information for
dissemination to other components to assist in formulating the Agency's
litigation strategy and improving the adjudication process.
1. The Division of Litigation Analysis and Implementation (TAHC1)
develops and implements, in conjunction with other OHA components, an
appeals strategy that identifies the issues and types of cases which
OHA believes should be appealed. Captures court trend information for
dissemination to other components to assist in formulating the Agency's
litigation strategy and improving the adjudication process. Develops
and maintains a compendium of circuit court case law with systems-based
access. Tracks pending class actions, forecasts potential workload
impact, and makes recommendations to workload components regarding
workload impact. Uses court trend information to identify and make
appropriate recommendations with respect to areas in which policies
need to be developed and/or clarified, new regulations need to be
developed, or clarifying legislation should be sought. Prepares and
updates significant court case requirements used in reviewing court
cases. Uses court trend information to identify areas where additional
training is needed or other measures are needed to improve
defensibility. Advises OHA officials of significant cases and trends
and of litigation issues which may require revision of operating
instructions, and assists with the preparation of the instructions.
Coordinates OHA's views on proposed Social Security Acquiescence
Rulings. In response to OHA-identified cases and to requests for
appeals recommendations from ODCPP, obtains the views of affected OHA
components and formulates an OHA position on appeal. Maintains liaison
with OGC and ODCPP to coordinate the settlement of class actions and
class action implementation. In coordination with other OHA components,
develops instructions for OHA implementation of class action orders,
monitors implementation and serves as a focal point for questions from
OHA adjudicators. Responds to requests from OGC and ODCPP regarding
information about OHA operations requested in the course of litigation.
Coordinates OHA's response to discovery requests. Administers and
coordinates the Freedom of Information Act and Privacy Act provisions
for OHA.
2. The Division of Planning and Evaluation (TAHC2) develops,
coordinates and conducts a comprehensive OHA-wide program of studies
and analyses of the application of and compliance with SSA and OHA
policies and procedures in all phases of OHA's hearings and appeals
processes and SSA's claimant representation process and the quality of
results achieved. Provides advice and assistance to other OHA
components in designing and implementing appropriate systems and
procedures for collecting, recording, analyzing and evaluating data to
assess the quality of work emanating from the hearings and appeals
processes. Conducts studies of policy implementation within OHA.
Identifies problem areas and deficiencies in policies. Develops
techniques and systems for conducting evaluations of the substantive
and technical aspects of claims throughout OHA.
3. The Division of Policy (TAHC3) plans, develops and coordinates
the preparation of regulations, policies and guidelines for the
hearings, appeals, civil actions and claimant representation processes
under Titles II, XVI and XVIII of the Social Security Act, as amended,
and under Title IV of the Federal Coal Mine Health and Safety Act of
1969, as amended. Ensures that operating procedures and instructions
developed to implement the hearings and appeals process conform with
SSA benefit program policy and OHA hearings and appeals process policy.
Provides advisory services, consultation, and staff assistance to other
components of OHA. Maintains ongoing liaison with SSA, HCFA, OGC and
others with respect to program, legislative and policy matters. Reviews
current and developing trends in administrative law and litigation;
analyzes and prepares policy recommendations; and develops long-range
and short-range plans for hearing and appeals policy matters and OHA's
implementation of benefit program policy matters. Develops and
coordinates program training in conjunction with other OHA, SSA, and
OGC program components.
H. The Office of Management (TAHE) provides administrative support
to the Associate Commissioner for all management and systems related
activities for OHA. Coordinates with the Chief Administrative Law Judge
with respect to management, financial, materiel resources and systems
support functions which affect field operations. Has direct line
authority for all management and administrative support functions for
Headquarters' components of OHA and in coordination with the Chief ALJ,
for all field components of OHA including its regional offices (ROs)
and hearing offices nationwide. Coordinates and integrates the
management programs and administrative planning initiatives of OHA into
the long-range goals and objectives of SSA. Monitors OHA's progress
toward meeting established Agency goals and makes recommendations for
needed adjustments to enable OHA to meet these goals. Plans, directs
and implements an Equal Employment Opportunity (EEO) program within
OHA. Plans, directs, administers and evaluates the congressional and
public inquiries activities for OHA. Plans, directs and administers a
comprehensive nationwide management analysis program to identify areas
requiring improvement to enhance the quality and effectiveness of
management practices and to assess trends in management.
1. The Equal Employment Opportunity Staff (TAHE1) is responsible
for OHA's EEO program. Plans, develops, implements and monitors OHA's
affirmative action program, and administers the EEO complaint process
for OHA headquarters. Provides guidance for, and monitoring of, OHA
regional EEO programs.
2. The Division of Congressional and Public Inquiries (TAHE2)
formulates policies, procedures and guidelines for use in responding to
high priority correspondence from the public and congressional offices.
Serves as the correspondence liaison staff with the Commissioner's
Office, the Office of Communications and other SSA components.
3. The Division of Budget and Financial Management (TAHE3) plans,
develops and coordinates OHA's budget and financial management
programs, advising the Director of OM and/or the Associate Commissioner
of the financial impact of all decisions which may affect the program
and administrative operations of the Agency. Formulates, justifies and
presents OHA's annual and multi-year budget submissions. Reviews and
analyzes budget requests submitted by OHA components and formulates
OHA's financial operating plans and budget projections. Works with SSA
budget officials to obtain the resources necessary to meet OHA goals
and objectives. Develops all necessary applications for generating
budget data
[[Page 35854]]
and financial management reports. Executes and administers a financial
management system, integrating resource management controls. Ensures
that employment ceilings and obligations and expenditures of funds are
in conformance with authorized allotments and allowances. Administers
the travel and payroll function for all OHA headquarters components and
ALJs nationwide.
4. The Division of Materiel Resources (TAHE4) plans, directs and
provides administrative support services in the areas of space planning
and management; forms and records management; property management;
equipment control and maintenance; graphic arts; safety and self-
protection, including emergency planning; security; procurement and
supply; laboring services; mail and messenger services; motor vehicle
operations; and communications systems management. Organizes, controls
and coordinates procurement and property management activities,
including development of specifications and requisitions for
procurement of property, inspections of property owned or leased by the
United States Government and property accountability. Administers an
occupational health and safety program in compliance with established
health and safety concepts, regulations, standards and procedures.
Administers security programs and inspections, and coordinates with
local law enforcement officials to ensure protection of OHA property
and personnel.
5. The Division of Systems Resources (TAHE5) is the focal point for
all OHA systems-related activities. Provides office automation and data
processing support to all OHA components. Develops OHA's long-range
systems goals and objectives. Provides computer programming and systems
support for the planning, design, development and implementation of all
OHA automated data processing systems. Serves as liaison with the
Office of Systems on all matters pertaining to systems, and ensures
that OHA systems efforts are undertaken, that projects underway are
carried out successfully and that OHA participates fully in the SSA
systems strategy.
6. The Division of Management Analysis and Employee Development
(TAHE6) advises the Director of OM and the Associate Commissioner in
all management areas involving management practices, management
analysis, operational analysis and the resolution of management/
employee concerns and problems. Plans, designs and administers
evaluation programs and tracking systems to assess the efficiency and
effectiveness of OHA operations in the field and headquarters. Serves
as the focal point of contact for coordinating the General Accounting
Office, the Office of the Inspector General, SSA and other studies of
OHA operations. Coordinates, develops and publishes administrative
delegations of authority for OHA. Administers OHA's Employee
Development Program. Develops and administers an OHA-wide program to
identify training needs; develops mechanisms to meet identified
training needs; and assesses the effectiveness of the OHA training
program in meeting the training needs of managers, supervisors and
employees.
Subchapter TAJ--Office of International Policy
TAJ.00 Mission
TAJ.10 Organization
TAJ.20 Functions
Section TAJ.00 The Office of International Policy--(Mission): The
Office of International Policy serves as SSA's focal point for
international program policy matters and for its participation in the
international Social Security community. Serves as liaison to
international agencies and associations which deal with Social Security
matters. Negotiates international Social Security (totalization)
agreements with foreign governments, and develops policies and
procedures to implement the agreements. Develops and implements
policies and procedures relating to the operation of the Social
Security program outside the United States. Provides programs of
training and technical consultations on Social Security and related
fields to Social Security officials and other experts outside the
United States. Serves as liaison with other Federal agencies, such as
the Department of State and the Department of the Treasury, on Social
Security program matters outside the United States.
Section TAJ.10 The Office of International Policy--(Organization):
The Office of International Policy, under the leadership of the
Associate Commissioner of the Office of International Policy includes:
A. The Associate Commissioner for International Policy (TAJ).
B. The Immediate Office of the Associate Commissioner for
International Policy (TAJ).
C. The Division of International Program Policy and Agreements
(TAJA).
D. The International Activities Staff (TAJB).
Section TAJ.00 The Office of International Policy--Functions):
A. The Associate Commissioner for International Policy (TAJ) is
directly responsible to the Deputy Commissioner, Programs and Policy
for carrying out the OIP mission and provides supervision to the major
components of OIP.
B. The Immediate Office of the Associate Commissioner for
International Policy (TAJ) provides the Associate Commissioner with
staff assistance on the full range of his/her responsibilities, helps
coordinate the activities of OIP components, and acts as the SSA or
United States Government representative to international organizations
and world bodies involved with international social security matters.
C. The Division of International Program Policy and Agreements
(TAJA).
1. Plans, develops and evaluates program policies and procedures
relating to foreign claims administration, foreign evidence and
beneficiaries and modifies policies and procedures to meet program
requirements in foreign countries.
2. Negotiates international Social Security (totalization)
agreements with foreign governments and takes the actions necessary to
secure their approval, develops policies and procedures to implement
agreements and administers the coverage provisions of the agreements.
3. Issues certificates of coverage to United States-based workers
who are on temporary assignments in countries with which the United
States has international totalization agreements to exempt them (and
their employers) from foreign social security taxes.
4. Interacts with various SSA components, other Federal agencies
and governments of other countries on all foreign program matters,
including evaluation of foreign social insurance systems for alien
nonpayment purposes, benefit payment delivery and restrictions,
acceptability of foreign evidence, program integrity and mutual
assistance arrangements with other countries.
5. Conducts legislative and regulatory reviews, studies and
analyses of all matters relating to international policy and
international Social Security agreements and takes necessary
legislative or regulatory action on foreign program and agreement
problems requiring such remedy.
D. The International Activities Staff (TAJB).
1. Develops and coordinates individualized programs of consultation
and observation for foreign Social
[[Page 35855]]
Security officials and experts in related fields on the United States
Social Security system.
2. Coordinates SSA's technical assistance to foreign countries in
designing and/or modernizing existing social security systems.
3. Serves as SSA's focal point in disseminating information about
the United States Social Security program to foreign organizations.
4. Plans and coordinates SSA's international travel plan, including
providing logistical support and administering all activities relating
to control of official passports for SSA staff traveling abroad.
5. Plans, implements and manages SSA-hosted international
conferences, meetings and seminars.
Subchapter TAN--Office of Research, Evaluation and Statistics
TAN.00 Mission
TAN.10 Organization
TAN.20 Functions
Section TAN.00 The Office of Research, Evaluation and Statistics--
(Mission): The Office of Research, Evaluation and Statistics is
responsible for providing information on the effects on individuals and
the economy of programs operated by SSA and the interactions among
these programs, other tax and income-transfer programs and economic,
social and demographic forces. Plans and directs a continuing program
of economic and social research to evaluate the effectiveness of
national policies in meeting desired program outcomes. Plans and
directs studies and surveys to evaluate the effectiveness of policy
development, implementation and program outcomes of the disability,
retirement and survivors and supplemental security income programs.
Section TAN.10 The Office of Research, Evaluation and Statistics--
(Organization): The Office of Research, Evaluation and Statistics under
the leadership of the Associate Commissioner for Research, Evaluation
and Statistics, includes:
A. The Associate Commissioner for Research, Evaluation and
Statistics (TAN).
B. The Deputy Associate Commissioner for Research, Evaluation and
Statistics (TAN).
C. The Immediate Office of the Associate Commissioner for Research,
Evaluation and Statistics (TAN).
D. The Publications Staff (TANA).
E. The Division of Program Analysis (TANB).
F. The Division of Economic Research (TANC).
G. The Division of Earnings Statistics and Analysis (TANE).
H. The Division of Retirement, Survivors, Disability Insurance
Research Statistics (TANG).
I. The Division of SSI Analysis/Management Statistical Support
(TANH).
J. The Disability Research Staff (TANJ).
Section TAN.20 The Office of Research, Evaluation and Statistics
(Functions):
A. The Associate Commissioner for Research, Evaluation and
Statistics (TAN) is directly responsible to the Deputy Commissioner,
Programs and Policy for carrying out ORES' mission, and providing
general supervision to the major components of ORES.
B. The Deputy Associate Commissioner for Research, Evaluation and
Statistics (TAN) assists the Associate Commissioner in carrying out
his/her responsibilities and performs other duties the Associate
Commissioner may prescribe.
C. The Immediate Office of the Associate Commissioner for Research,
Evaluation and Statistics (TAN) provides the Associate Commissioner and
Deputy Associate Commissioner with staff assistance on the full range
of their responsibilities and helps coordinate the activities of ORES
components.
D. The Publications Staff (TANA).
1. Advises ORES on the development, organization and presentation
of research and statistical studies.
2. Publishes and distributes these studies to national and
international audiences.
3. Assesses informational needs of SSA staff, staff in other
Government agencies, the social science research community and the
public for data and findings from the ORES research program.
E. The Division of Program Analysis (TANB).
1. Plans, designs and conducts surveys of program target groups and
performs policy-relevant research.
2. Analyzes the impact of proposed policy options, legislative
proposals and special high-priority issues and prepares briefing
materials for SSA administrators.
3. Plans, conducts and publishes the results of cross-national
research on social security programs worldwide.
F. The Division of Economic Research (TANC).
1. Plans, directs and executes issue-oriented research to provide
information about relationships between the Social Security program,
the economy and other aspects of society.
2. Interprets changing demographic and economic trends as they
relate to the broad field of economic security and to overall economic
and social policy.
3. Studies such major areas as: Social Security financing, economic
impacts of Social Security, income maintenance, effect of Social
Security on lifetime income redistribution, alternative measures of
income adequacy, and labor market and retirement behavior.
G. The Division of Earnings Statistics and Analysis (TANE).
1. Plans, coordinates and directs the preparation of statistical
and analytical data pertaining to earnings, employment and employer
classification. Analyzes these data with emphasis on demographic,
economic, social and program characteristics. These data are used to
support program and legislative planning and serve as important sources
for program evaluation, research and administrative information within
SSA, and for research by other Federal and State and local government
agencies, universities, and private research organizations.
2. Provides ORES and other SSA researchers with support in the
development of social science survey data linked with SSA
administrative record data.
H. The Division of Retirement, Survivors and Disability Insurance
Research Statistics (TANG).
1. Plans, coordinates and directs the preparation of statistical
and analytical data pertaining to RSDI claims and benefits provisions
of Title II of the Social Security Act. Analyzes these data with
emphasis on demographic, economic, social and program characteristics.
These data are used to support program and legislative planning and
serve as important sources for program evaluation, research and
administrative information within SSA, and for research by other
Federal and State and local government agencies, universities and
private research organizations.
I. The Division of SSI Analysis/Management Statistical Support
(TANH).
1. Plans, coordinates and directs the preparation of statistical
and analytical data pertaining to the Supplemental Security Income
provisions of Title XVI of the Social Security Act. Analyzes these data
with emphasis on demographic, economic, social and program
characteristics. These data are used to support program and legislative
planning and serve as important sources for program evaluation,
research and administrative information within SSA and for research by
other Federal and State and local government agencies,
[[Page 35856]]
universities and private research organizations.
2. Provides management statistical services to SSA operating and
policy components, including such activities as the development of
general purpose and customized field office samples, development of
work sampling systems and quality assurance systems, and the design and
analysis of operational pilot studies. Provides support for the
development and use of mathematical models and statistical methods.
J. The Disability Research Staff (TANJ).
1. Plans, directs and implements a wide range of studies and
analyses, utilizing data from surveys and administrative records, on
the national disabled population, disability applicants and disability
beneficiaries.
2. Develops research in response to DI program issues.
3. Maintains and develops research surveys and administrative data
files used in the analysis of disability data.
Subchapter TAP--Office of Program Benefits Policy
TAP.00 Mission
TAP.10 Organization
TAP.20 Functions
Section TAP.00 The Office of Program Benefits Policy--(Mission):
The Office of Program Benefits Policy provides SSA-wide leadership and
direction to the development, coordination and promulgation of RSI and
SSI policies and procedures. Develops, coordinates and evaluates the
program and issues the operational policies, standards and instructions
for the RSI and SSI programs. Develops and issues policies and
guidelines for use by State and Federal organizations which implement
the SSI provisions. Develops agreements with the States and other
agencies that govern State supplementation programs, Medicaid
eligibility, data exchange programs, food stamps and fiscal reporting
processes.
Section TAP.10 The Office of Program Benefits Policy--
(Organization): The Office of Program Benefits Policy, under the
leadership of the Associate Commissioner for Program Benefits Policy
includes:
A. The Associate Commissioner for Program Benefits Policy (TAP).
B. The Deputy Associate Commissioner(s) for Program Benefits Policy
(TAP).
C. The Immediate Office of the Associate Commissioner for Program
Benefits Policy (TAP).
D. The Division of Benefit Continuity (TAPA).
E. The Division of Coverage (TAPB).
F. The Division of Entitlement (TAPC).
G. The Division of Payment Policy (TAPE).
H. The Division of Program Requirements Policy (TAPG).
I. The Division of Program Management, Research and Demonstration
(TAPH).
Section TAP.20 The Office of Program Benefits Policy--(Functions):
A. The Associate Commissioner for Program Benefits Policy (TAP) is
directly responsible to the Deputy Commissioner, Programs and Policy
for carrying out OPBP's mission and provides general supervision to the
major components of OPBP.
B. The Deputy Associate Commissioner(s) for Program Benefits Policy
(TAP) assists the Associate Commissioner in carrying out his/her
responsibilities and performs other duties as the Associate
Commissioner may prescribe.
C. The Immediate Office of the Associate Commissioner for Program
Benefits Policy (TAP) provides the Associate Commissioner and Deputy
Associate Commissioner(s) with staff assistance on the full range of
their responsibilities and helps coordinate the activities of OPBP
components.
D. The Division of Benefit Continuity (TAPA).
1. Plans, develops and evaluates the operational policies,
standards and instructions and provides guidance to field components on
issues related to the retirement and survivors insurance program and
common to one or more of the other SSA programs in the area of benefit
continuity.
2. Develops, issues and evaluates guidelines, directives,
instructions and operating procedures for such areas as work notices,
annual and monthly earnings tests, suspensions and terminations,
governmental pension offset and enforcement and beneficiary compliance,
overpayments, underpayments, recovery and waiver, garnishment, payment
delivery, onsite review, accounting, representative payee selection,
advance notice, capability/incapability and use and misuse.
E. The Division of Coverage (TAPB).
1. Plans, develops and evaluates the operational policies,
standards and instructions and provides guidance to field components on
issues related to the retirement and survivors insurance program and
common to one or more of the other SSA programs in the area of
coverage.
2. Develops and issues guidelines, directives, instructions and
operating procedures for such coverage and employment subject areas as
wages, coverage and exceptions, anti-poverty programs, earnings records
and earnings records discrepancies, coverage aspects of international
agreements, self-employment status and income, religious exemptions,
State and local coverage and statutes of limitations.
F. The Division of Entitlement (TAPC).
1. Plans, develops and evaluates the operational policies,
standards and instructions and provides guidance to field components on
issues related to the retirement and survivors insurance program and
common to one or more of the other SSA programs in the area of
entitlement.
2. Develops and issues guidelines, directives, instructions and
operating procedures for such entitlement subject areas as
applications, insured status, veterans' benefits, railroad employment,
family relationships, dependency and support, evidence, school
attendance, indexing of earnings, primary insurance amount computation,
reduction of benefits for age, family maximums, saving clauses,
recomputations and recalculations of benefits, period of disability
computations, awards, disallowances and abatements of claims, earnings
records, claims application forms, administrative finality,
adjudicative standards, evidence, documentation, conspicuous
characteristics and social security numbers.
G. The Division of Payment Policy (TAPE).
1. Plans, develops and evaluates the operational policies,
standards and instructions and provides guidance to field components on
issues related to the supplemental security income program in the area
of payment policy.
2. Develops and issues guidelines, directives, instructions and
operating procedures for such payment policy subject areas as
redeterminations, SSI notices, SSI appeals and overpayments/
underpayments matching and interfaces, mandatory and optional State
supplemental payments, pass through of rate increases, monitoring of
fiscal information systems with the States, maintenance of State
agreements, food stamps, Medicaid, State assistance reimbursements,
energy assistance, State data exchange systems and postadjudicative
issues.
H. The Division of Program Requirements Policy (TAPG).
1. Plans, develops and evaluates the operational policies,
standards and instructions and provides guidance to field components on
issues related to the supplemental security income
[[Page 35857]]
program in the area of program requirements policy.
2. Develops and issues guidelines, directives, instructions and
operating procedures for such program requirements subject areas as
individual/couple/child eligibility status, in-kind income, support and
maintenance, in-kind living arrangements, institutionalization, special
classifications of income and medical social services, generic income
issues, deeming of income and resources, computation of income, certain
grandfather clauses, special sponsored alien deeming, color of law
alien status, presence in the United States, generic resources issues,
trust policy, filing for other benefit requirements and property
essential for self-support.
I. The Division of Program Management, Research and Demonstration
(TAPH).
1. Designs, manages and conducts studies to measure and evaluate
the impact and effectiveness of the supplemental security income and
the retirement and survivors insurance program policies, procedures and
programs on the population.
2. Establishes, maintains and operates statistical program data
base extract systems to provide program information for internal and
external use; develops functional specifications and programs;
validates output; and assists requestors in verifying final product.
3. Manages demonstration cooperative agreements and initiatives to
target special populations and program issues. Evaluates the
effectiveness of demonstrations and initiatives and develops new and
revised policies and procedures to implement program improvements.
4. Coordinates and directs assignments and projects related to
program redesign and systems modernization efforts, including
development of program specifications for expert systems. Formulates,
plans and implements computer programs and other automation activities
in support of program policy, research and administrative needs.
5. Develops and issues guidelines, directives, instructions and
operating procedures for SSI applications policy, including protective
filing and advance filing and SSI work incentive provisions, including
plans for achieving self support and Section 1619 provisions.
Subchapter TAS--Office of Program Support
TAS.00 Mission
TAS.10 Organization
TAS.20 Functions
Section TAS.00 The Office of Program Support (Mission): The Office
of Program Support provides leadership in overseeing the Agency's
system of programmatic instructions, notices to the public and
technical documents. Develops and maintains standards governing the
translation of strategic policy decisions into operational policies,
procedures and notices. Responsible for the Agency's Regulatory
Program, including development of SSA's Regulatory Plan and the
Agency's portion of the Unified Agenda of Federal Regulations. Oversees
the Agency's implementation of policies which utilize technologies in
providing service to the public. Assures programmatic support to
legislative implementation activities. Develops and interprets SSA
policy governing requests for disclosure of information from Agency
records under provisions of the Privacy Act and the Freedom of
Information Act. Sponsors and supports ODCPP Interdisciplinary Teams
established to address cross-cutting policy issues and initiatives.
Designs, implements and maintains automated information and
communications systems ODCPP-wide. Section TAS.10 The Office of
Program Support (Organization): The Office of Program Support, under
the leadership of the Associate Commissioner for Program Support
includes:
A. The Associate Commissioner for Program Support (TAS).
B. The Deputy Associate Commissioner for Program Support (TAS).
C. The Immediate Office of the Associate Commissioner for Program
Support (TAS).
Section TAS.20 The Office of Program Support (Functions):
A. The Associate Commissioner for Program Support (TAS) is directly
responsible to the Deputy Commissioner, Programs and Policy for
carrying out OPS's mission and providing managerial direction to OPS.
B. The Deputy Associate Commissioner for Program Support (TAS)
assists the Associate Commissioner in carrying out his/her
responsibilities and performs other duties as the Associate
Commissioner may prescribe.
C. The Immediate Office of the Associate Commissioner of the Office
of Program Support(TAS) provides the Associate Commissioner with staff
assistance on the full range of his/her responsibilities.
1. Provides leadership in overseeing the Agency's system of
programmatic instructions, notices to the public and technical
documents. Develops and maintains standards governing the translation
of strategic policy decisions into operational policies, procedures and
notices.
2. Responsible for the Agency's Regulatory Program.
3. Oversees the Agency's implementation of policies which utilize
technologies in providing service to the public.
4. Assures programmatic support to legislative implementation
activities.
5. Develops and interprets SSA policy governing requests for
disclosure of information from Agency records under provisions of the
Privacy Act and the Freedom of Information Act.
6. Sponsors and supports ODCPP Interdisciplinary Teams.
7. Designs, implements and maintains automated information and
communications systems ODCPP-wide.
Dated: June 19, 1996.
Shirley S. Chater,
Commissioner of Social Security.
[FR Doc. 96-17244 Filed 7-5-96; 8:45 am]
BILLING CODE 4190-29-P
