2200.2 SR Requirement Notification

Provide the following reporting requirement information to the household, both verbally and in writing at application and recertification. How SR works Reporting requirements, including: What to report What to verify When the ESD 202IR, Interim Report is due How to get assistance What happens when the ESD 202IR isn’t completed and returned Help is available to complete and file the ESD 202IR for disabled disabled or non-English speaking households. A person who meets one or more of the following: Receives disability or blindness benefits from any of these programs: Social Security, SSI , or MABD . A person meets this even when the full benefit is withheld or deferred due to recoupment. Receives a federally or state administered SSI supplement based on disability or blindness, or section 212(a) of PL 93-66. Receives a disability retirement benefit from a government agency for a disability considered permanent by SSA disability considered permanent by SSA . Any of the following conditions: Permanent loss of use of both hands, both feet, or one hand and one foot. Amputation of leg at hip. Amputation of leg or foot because of diabetes or peripheral vascular diseases. Total deafness, not correctable by surgery or hearing aid. Statutory blindness, unless caused by cataracts or detached retina. IQ of 59 or less, established after the person becomes 16 years old. Spinal cord or nerve root lesions resulting in paraplegia or quadriplegia. Multiple sclerosis with damage to the nervous system caused by scattered areas of inflammation. The inflammation recurs and has progressed to varied interference with the function of the nervous system, including severe muscle weakness, paralysis, and vision and speech defects. Muscular dystrophy with irreversible wasting of the muscles, impairing the ability to use the arms or legs. Impaired renal function caused by chronic renal disease, resulting in severely reduced function which may require dialysis or kidney transplant. Amputation of a limb of a person at least 55 years old. Is a veteran the VA considers totally (100%) disabled or permanently housebound or in need of regular aid and attendance. Is a veteran’s surviving spouse who the VA considers: in need of regular aid and attendance, or permanently housebound, or approved for benefits because of the veteran’s death and has a disability considered permanent by SSA. Is a veteran’s surviving child who the VA considers: incapable of self-support, or approved for benefits because of the veteran’s death and has a disability considered permanent by SSA The toll-free telephone number, 1-800-479-6151, to ask questions or get help completing the ESD 202IR.