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Proposed Rule

Revised Medical Criteria for Evaluating Skin Disorders

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Social Security Administration.


Advance Notice of Proposed Rulemaking.


We are requesting your comments on whether and how we should revise the criteria in our Listing of Impairments (the listings) for evaluating skin disorders in adults and children. We are requesting your comments as part of our ongoing effort to ensure that our listings reflect current medical knowledge. If we propose specific revisions, we will publish a Notice of Proposed Rulemaking in the Federal Register.


To be sure that we consider your comments, we must receive them by no later than January 11, 2010.


You may submit comments by any one of three methods—Internet, fax, or mail. Do not submit the same comments multiple times or by more than one method. Regardless of which method you choose, please state that your comments refer to Docket No. SSA-2009-0057 so that we may associate your comments with the correct regulation.

Caution: You should be careful to include in your comments only information that you wish to make publicly available. We strongly urge you not to include in your comments any personal information, such as Social Security numbers or medical information.

1. Internet: We strongly recommend that you submit your comments via the Internet. Please visit the Federal eRulemaking portal at Use the Search function to find docket number SSA-2009-0057. The system will issue a tracking number to confirm your submission. You will not be able to view your comment immediately because we must post each comment manually. It may take up to a week for your comment to be viewable.

2. Fax: Fax comments to (410) 966-2830.

3. Mail: Mail your comments to the Office of Regulations, Social Security Administration, 137 Altmeyer Building, 6401 Security Boulevard, Baltimore, Maryland 21235-6401.

Comments are available for public viewing on the Federal eRulemaking portal at or in person, during regular business hours, by arranging with the contact person identified below.

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Jane Deweib, Social Insurance Specialist, Office of Medical Listings Improvement, Social Security Administration, 6401 Security Boulevard, Baltimore, Maryland 21235-6401, (410) 965-1020. For information on eligibility or filing for benefits, call our national toll-free number, 1-800-772-1213 or TTY 1-800-325-0778, or visit our Internet site, Social Security Online, at

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Electronic Version

The electronic file of this document is available on the date of publication in the Federal Register at​fr/​index.html.Start Printed Page 57973

What is the purpose of this Advance Notice of Proposed Rulemaking (ANPRM)?

This ANPRM gives you an opportunity to send us comments and suggestions on whether and how we might revise the listings and other criteria in sections 8.00 and 108.00 for evaluating skin disorders. We last published final rules revising the criteria that we use to evaluate skin disorders on June 9, 2004, 69 FR 32260. We are publishing this ANPRM as part of our ongoing effort to ensure that our criteria reflect the latest advances in medicine.

On which rules are we inviting comments and suggestions?

You can find our current rules on which we are inviting comments and suggestions on the Internet at the following locations:

Who should send us comments and suggestions?

We invite comments and suggestions from people who apply for or receive benefits from us, members of the general public, advocates and organizations who represent people who have skin disorders, State agencies that make disability determinations for us, experts in the evaluation of skin disorders, and researchers.

What should you comment about?

We are interested in any comments and suggestions on how we might revise sections 8.00 and 108.00 of our listings. For example, we are interested in knowing if:

  • You have concerns about any of the provisions in the current skin impairments listings, such as whether you believe we should change any of our criteria or whether you believe a listing is difficult to use or to understand.
  • You would like to see our skin impairments listings include something that is not there now, such as other skin disorders, additional medical technologies, specific laboratory studies, or new medical criteria.
  • You believe our skin impairments listings should include functional criteria and, if so, what those criteria should be.

Will we respond to your comments from this notice?

We will not respond directly to the comments you send in response to this ANPRM. After we have considered all comments and suggestions, as well as information about advances in medical knowledge, treatment, and methods of evaluating skin disorders, and our program experience using the current listings, we will determine whether we should revise any of the listings or other criteria in sections 8.00 or 108.00. If we decide to propose specific revisions, we will publish a Notice of Proposed Rulemaking in the Federal Register and you will have a chance to comment on the revisions we propose.

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List of Subjects in 20 CFR Part 404

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Dated: September 28, 2009.

Michael J. Astrue,

Commissioner of Social Security.

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[FR Doc. E9-27033 Filed 11-9-09; 8:45 am]