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Section 223(d)(4) and Section 1633 of the Social Security Act provide for collection of evidence necessary to determine initial or continuing eligibility for Supplemental Security Income or Social Security disability benefits. An individual's entitlement to benefits ends if he/she demonstrates an ability to perform substantial gainful activity (GSA). This form is used to determine whether work an individual performs in self-employment is at the SGA level. |
Form #:
SSA 820
F4
Agency:
Social Security Administration
Common Name:
Work Activity Report (Self-Employed Person), 20 CFR 404.1520(b), 404.1571-.1576, 404.1584-.1593, 416.971-.976
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CAPABILITY |
WHAT'S NEEDED |
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Form Only
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4
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69141
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[2] Printable Only
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