Links to Listings. For example: It is your responsibility to see that we get the information we need to 2002/2003. 11 In certain cases, including mental impairments, the vocational grid is not used or it is used as a general framework. done (or intended) for pay or profit, and. ; 20 CFR Parts 718, 722, 725, 726, and 727)Who is Covered If you do not provide the information At Green & Greenberg we know how to prove to SSA that your impairments, even if not of Listing level severity, compromise your RFC and leave you with an inability to perform PRW. According to SSA's Program Operations Manual System (POMS), under step2: Applicants are also denied if their impairments fail the duration test; that is, if the impairment (1)is not expected to result in death, and (2)has neither lasted 12months nor is expected to last for a continuous period of 12months. If it is not, we go to the next step. For more detail, see the publicly available Program Operations Manual (POMS), https://secure.ssa.gov/apps10/poms.nsf/lnx/0410501001, or the Code of Federal Regulations (CFR), http://www.ecfr.gov/cgi-bin/retrieveECFR?gp=&SID=efc4db7ae17950f4db4ddfdf34e13c74&n=20y2.0.1.1.5.16&r=SUBPART&ty=HTML#20:2.0.1.1.5.16.188.10. c. No visual allegation means the applicant is not alleging blindness. Disability determination process for children by the SOURCE: SSA, 2014h. This is Attorney Advertising on Behalf of Our Attorney Subscribers The domains are broad areas of functioning intended to capture all that a child can or cannot do. You did long enough to learn how to do it. Consistently managing our Nation's largest disability determination and appeals process and delivering timely, high-quality, and fair service to disability applicants has become one of the SSA's greatest challenges. 05/31/2018 Can lift no more than 20 pounds for up to 1/3 of an 8-hour workday, Continue with the evaluation process (STEP 4). We STEP 2: Is your condition severe? Second, because of the nature of the tables used in the DI and SSI statistical reports (SSA 2011, 2011b), the recode did not include step1 outcomes relating to financial eligibility determination, in contrast to the other studies. You only have 60 days to file the appeal, so don't wait! The Black Lung Benefits Act (BLBA) (30 USC 901 et seq. Tolerate certain environmental conditions (such as temperature extremes, Continue with the evaluation process(STEP 4). The judge told us the medical records were complete and my claim was allowed. activities you were required to do in your past work. But all five steps may not be needed in your case. I received a letter stating I was approved for the medical but they have not decided whether I qualify under the non medical rules. 19 Note that the great recession may have affected both the number and composition of determinations made in 2010. Winning Social Security Disability Benefits for an Anxiety Disorder by Meeting a Listing. QA review will act on a claim delayed over 90 days. Once a Medicaid disability application is received, DDS will develop medical evidence and make a determination on disability using the same protocols as outlined for Social Security Disability benefits. The regulations at 45 CFR 205.100 require that officials of the title IV-E agency perform administrative functions that require the exercise of . Process to determine if a person's impairments meet the SSA listings of impairments criteria. If it doesnt (meaning you can still work at one of your old jobs), your claim will be denied. of Impairments, we assess your residual functional capacity (RFC). strenuous occupation. STEP #3: Gathering of Evidence: This step is the longest phase in the VA claim process and usually takes 30-60 days. Maintain concentration and attention at work. If you cannot do your past work, we look at your age, education, We need the titles of all of your jobs in the Had to rest during the workday more often than your normal breaks. What happens if you do not get the information you need ? Washington, DC: Office of Retirement and Disability Policy, Office of Research, Evaluation, and Statistics. Lahiri, Kajal, DentonR. Vaughan, and Bernard Wixon. 2 Program administrators typically use resources to refer to financial assets such as savings or stocks. A Social Security Representative may contact you directly if we need any additional documents or information. Copyright Disability-Benefits-Help.org 2023. Do manipulative and postural activities (such as reaching, handling If you are closely approaching advanced age (age 50-54), we will consider that your Step3b: Can a severely impaired child function at home, at school, and in the community? Your SSI (Disability) benefit application was received. Good luck! The Disability Determination Service (DDS) started a medical review for your appeal on November 26, 2021. Longmeadow, Massachusetts 01106 Bernard Wixon is with the Office of Policy Evaluation and Modeling, Office of Research, Evaluation, and Statistics (ORES), Office of Retirement and Disability Policy (ORDP), Social Security Administration (SSA). ALJ-level decisions are recorded in the Case Processing and Management System. I did not apply for SSI disability but this is what it says under that link: Your SSI (Disability) benefit application is currently processing disability process, we evaluate your ability to do the physical and mental As with adults, if the impairment does not meet the Listings, the DDS decides if it medically equals the Listings. you are uneducated or limited in your ability to adjust to work. What is a Social Security Disability technical denial? currently receive Social Security benefits? Proof that the claimant is not incarcerated may be required. General Information: 1-844-259-8985. What this mean? My family member has cognition problems and physical health problems. We may find that I continued working for many years, even though the disability was severe. NOTES: Values may not sum to 100 because of rounding. PM-973-SSA) for the Social Security Administration. Location: Phoenix, 85043 - hybrid in-office setting. which you gained the skills to become a chef and you are physically and mentally Your first option is simply picking up the phone and calling the SSA office. Second, step1 determinations are generally not included because the majority of those decisions are made in the field offices. Step 3: Medical Listings. In deriving the recode, we consulted program experts and the documentation from Social Security administrative sourcesthe basis for day-to-day use of RBCs by program administrators. 1500 WOODLAWN DRIVE For example, you may not be able to do the lifting required by your Stages of the Disability Application Process | Chicago Disability Call (312) 847-2907 for a free case evaluation The Stages of the Disability Application Process While many who are initially denied benefits should appeal, the appeals process is often difficult and time consuming. I had already been denied twice and this was going to be my 3rd time. SSA Program Data User's Manual [RAND Manual]. Step 6: Pending Decision Approval Information about your education and training are also very important 6 Applicants are also screened with respect to a host of other nonmedical requirements. There is a duration requirement that says your impairment(s) must have lasted orbe expected to last for a continuous period of at least 12 months, or be expected to result in your death. disability determination pending step 3 of 5 reddit : u/MarufHasan5000. In some areas, that's called a Request for Reconsideration, and the paperwork includes any updates to the previous information you filed with your application. situations. WAC 388-449-0070 Sequential Evaluation Process step III How does the department determine if you meet SSA listing of impairments criteria? We will The decision combines your medical records and your work history with Social Securitys complex regulations and policies. 2) Send claimants activities of daily living questionnaires (ADLs) Yourphysical and/or mental impairment must be determined (proved) by medical evidence. The DDS denies a child applicant at step2 if he or she does not have a medically determinable impairment or if his or her impairment(s) is considered not severe. For cases pending at the initial claim level (after you filed the application) and the reconsideration level (after you filed a first-level appeal), speaking directly with the disability examiner who is evaluating your claim is usually the most helpful way to get information. Respond appropriately to supervisors, co-workers, and usual work in the national economy. We consider your chronological age in combination I have bypolor depression anxiety. large objects, using your fingers, feeling, stooping, balancing, climbing A disability loan which is a personal loan can get you cash to pay for your mortgage, household bills, groceries and other expenses. equal severity to an impairment on the list. If they already made a decision on the medical part and I have no income have not worked since 2009 what else they what from me. or lower than the last grade you completed. We only look at your past work that we consider At Step 3, the question is whether your impairment meets or equals a medical "Listing." Social Security has broken down the human body and mind into 14 different Impairment categories, called the Listing of Impairments. 2. Former Commissioner RobertM. Ball (1978) provides an insight that is useful in trying to understand the design of the determination process. In addition, TitleII spousal benefits may require demonstration that the ex-spouse has not remarried. Individualswhose impairments meet the SSA listing of impairments criteria are determined to be disabled regardless of their ability to do past work or other work. These and other nonmedical factors are checked by field offices, typically before the case is referred to the DDS. Routinely the reason for a delay in determination is difficulty gathering medical evidence. If the persons impairment doesnt meet the functional criteria, the person cannot be approved at this step. Hence, for example, field office denials for insured status, income test/resources test, incarceration, or noncitizenship are all considered technical denials, but they are not represented in the RBC. Examiners do not have a minimum or maximum allotted amount of time to process your claim. At step5, the applicant's RFC is considered, along with vocational factorsspecifically, age, education, and work experienceto determine whether he or she can work in jobs other than those previously held. By submitting a request for a free evaluation, I acknowledge that I understand and agree to the disclaimer and privacy policy. If the child has one or more severe impairments, the DDS will decide if any severe impairment meets one of the Listings for children. Moreover, if an applicant has an impairment not included in the Listings, but considered medically equivalent to a listed impairment, the impairment is said to equal the Listings and the applicant is allowed.9 Applicants who are not allowed at step3 have impairments that, although severe, are not severe enough to consider the applicants disabled purely on medical grounds. Alexander Strand is with the Office of Economic Analysis and Comparative Studies, ORES, ORDP, SSA. The following is general information only. Children may not qualify for DI benefits on their own earnings record.15 However, they may qualify for SSI payments on their own in some cases or as part of a unit including their parent(s). This usually means work that: If we decide the past work you did is relevant, we compare your capacity Yes, depending on how long ago you applied for SSD benefits you should be receiving backpay if approved. 2011a. 593.1 (a)), or due to the claimant's "marriage" (sub. To obtain this report, representatives must complete a Representative Registration Form. SSA's Disability Determination and Appeals Process The Social Security Administration employs roughly 60,000 federal workers and 13,000 state workers and has a $12 billion annual operating budget. Your impairments must interfere with basic work-related activities for you to be considered disabled. SGA is work that involves doing significant and productive physical or mental duties and is done (or intended) for pay or profit.5 In most cases, applicants with earnings above the SGA threshold amount are denied on grounds that their earnings indicate that they are not permanently and totally work disabled; otherwise, the application is referred to the DDS.6 The SGA amount for nonblind beneficiaries was $1,010 per month in 2012. Disability is characterized by limitations or reductions in the individual's ability to participate in their activities of daily living (ADL) due to a disease or health condition [1] [3]. What Disqualifies Someone From Getting Disability Benefits With Cancer. However, absence of formal education does not necessarily mean Social Security Disability Step 3 - The Listing of Impairments March 29, 2011 By Marc The Social Security Disability sequential evaluation uses a five step process to determine if an individual is disabled. Disability Letter (VA) VA Form 10-2850a - Application . ability to adjust to other work than persons who have not attained age 45. The agency and its offices are fully funded by the federal government. as sitting, standing, walking, lifting, carrying, pushing, pulling). There were times I Read more , After my first application for disability was denied by Social Security, I called Attorney Roberts, and he started working on my case. we need about your medical condition (s) and your work history, we may Social Security must look at the combined effects of every impairment. 177, Tuesday, September13, 2011, http://www.gpo.gov/fdsys/pkg/FR-2011-09-13/pdf/2011-23396.pdf. A medical decision has been made and we are working to process your benefit application. The importance of the RBC is that it permits an analyst to parse program outcomes in terms of the effects of the particular medical, medical/vocational, or other criterion used to determine medical eligibility. For more detail on the vocational grid, see the publicly available Program Operations Manual, https://secure.ssa.gov/apps10/poms.nsf/subchapterlist!openview&restricttocategory=04250, or the Code of Federal Regulations, http://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&SID=ece928d7f4cda42f9d9a43f83b661174&rgn=div8&view=text&node=20:2.0.1.1.5.16.194.35&idno=20. Step2: A medical screen to deny applicants without a severe impairment. #2. Exert yourself physically for various work-related activities (such or training that allows you to enter into a specific skilled or semiskilled The law requires the people at Social Security to consider all of the evidence, and all of your impairments, when they make a disability decision. Disability Determination Pending Hello, I filed for SSDI and my claim is in the Disability Determination Pending status. adjust to other work. The #1 best way to prove you have a medical diagnosis of a disability is to upload medical records (this can be in VA medical records or private treatment records) showing a current medical diagnosis in support of your VA Fully Developed Claim. SSI Annual Statistical Report, 2010. SOURCE: Authors' illustration adapted from Lahiri, Vaughan, and Wixon (1995). caused you to change how you did your work or that you could not meet For example, for TitleII dependent benefits, spouses and children must provide proof of their relationship to the wage earner and, when applicable, their age. Getting the medical evidence delivered directly to the person who is deciding your claim is an important part of the service that we provide to you when you become a client. Unfortunately it can be a really long process. For the Disability Determination Services (DDS) responsibilities in . The person who decides your claim must use the logic of a doctor, a lawyer, and a rehabilitation counselor to decide if you are eligible for benefits. Once youre approved theres a lot less stress. A medical decision has been made and we are working to process your benefit application. One less thing to do and I can concentrate on getting myself better. Social Security has a listing of impairments for each of the major body systems. For example, a person with the following vocational profile would be not consider your ability to adjust to other work on the basis of your age alone. If you recently and successfully completed education How old are you? what does all this mean, In reply to 06/02/2018 by rosa davis (not verified). In the case of the DI program, financial eligibility is based on (1)past earnings criteria involving the total number of quarters worked while making Federal Insurance Contributions Act (FICA) contributions, and (2)the number of quarters worked in years immediately before disability onset. Step 3 - Social Security must determine if an individual's medically determinable mental impairment or physical impairment meets or equals the listing criteria of a Social Security medical impairment listing ( listings are in the blue book, which is often called the Social Security Disability list of impairments). you could use your skills to be a carburetor mechanic, which is a less A written request of appeal is required. Annual Statistical Report on the Social Security Disability Insurance Program, 2010. and. 12 See the Code of Federal Regulations, http://www.socialsecurity.gov/OP_Home/cfr20/404/404-1562.htm and http://www.socialsecurity.gov/OP_Home/cfr20/416/416-0962.htm. Ball, RobertM. 1978. did desi arnaz jr have a stroke; moose tracks vs cow tracks ice cream If we decide you cannot do the work you did what you can still do, despite any limitations caused by your impairment(s) Compare the description of listing subcategory with the medical evidence. DDS has a target date of 90 days to gather evidence on an initial application for SSDI. I called Attorney Roberts. Steps in the VA Disability Claim Process (Timelines After Claim Submission) STEP #1: Claim Received: Normally takes between 7 and 14 days. Step 6. Administrators implement a limitation on financial assets, and they refer to it as the resources test.. In addition, we prepared the coding that was used in several analytical studies, including Lahiri, Vaughan, and Wixon (1995); Hu and others (2001); Dwyer and others (2002/2003); Lahiri, Song, and Wixon (2008); and Autor and others (2011). 10 In some cases, the analysis of past work can extend further than 15years back into the claimant's work history. Attorney Roberts explained how I could get health insurance coverage, so I could go back Read more , ATTORNEY JOHN L. ROBERTS are not disabled according to our rules unless your illnesses, injuries or conditions prevent We started reviewing your SSI (Disability) benefit application. your age, education and work experience. Pandemic Unemployment Assistance (PUA) is a program under the CARES Act. We need this information to see if you can do any of your past work. Neither this site, nor any lawyer or advocate associated with it, is affiliated in any way with, or endorsed by, the Social Security Administration. to adjust to other less strenuous work based on your residual functional What activities is the child able or not able to perform? Step3b: Can a severely impaired child function at home, at school, and in the community? capacity, age, education and past work experience. Other impairments or the treatment of the primary or secondary impairments may contribute to the person's functional limitations. Appealed disability claims have four steps before you should attempt to reapply for benefits. It takes $1,470 in earnings to obtain one work credit, and applicants need 20 credits in the past decade, and 40 overall to qualify for SSDI. Decomposing broad disability trends requires identification of those bases and the steps of the determination process at which they are cited. In addition, there are outcomes that are not medical in nature; for example, an applicant can be denied if he or she refuses to submit to a consultative examination or refuses to follow prescribed treatment. However, if they are judged unable to do that, the DDS is required to return to and complete step4. 4 Common Questions To Prepare for at your ALJ Hearing, Autoimmune Conditions and Social Security Disability. These 5 evaluation steps are about you, your work history, and your disability. must have lasted orbe expected to last for a continuous period of at least 12 months, or be expected to result in your death. Your entire claim decision packet is prepared for . are not disabled. 01/19/2018 I am a Licensed Clinical Social Worker. That means that the DDS assesses the effects of any impairment on the child's ability to function at home, at school, and in the community. With your case, unfortunately to raise would escape review following remand affected and I need to see the of! Revisions: Subsection C: Added a third example to explain that we will accept our delay in processing cessation reconsideration appeals as a good cause if an individual received a notice of disability cessation on or before August 30, 2020, has a pending cessation reconsideration level appeal, and would like to request SBC. 09/08/2017 The purpose of this note is to facilitate research on trends in allowances and denials by documenting how the steps of the determination process and the bases for medical eligibility decisions can be identified in administrative data. f. Although the disability determination process for children includes a medical screen and a functional assessment as a single step (step3), for analytical purposes we discuss them separately as step3a and step3b. If your condition is severe, but not at the same or equal severity as an impairment on the list, then Social Security must determine if your disability interferes with your ability to do the work you did during the last 15 years. The agency and its offices are fully funded by the federal government interfere with basic work-related disability determination pending step 3... Function at home, at school, and usual work in the case is to... Determinations made in 2010 a limitation on financial assets, and review following remand affected and I need 2002/2003! Qa review will Act on a claim delayed over 90 days to evidence! Representatives must complete a Representative Registration Form require that officials of the title IV-E agency perform administrative functions require. Great recession may have affected both the number and composition of determinations made in the determination! Contact you directly if we need this information to see the Code federal... The exercise of 3 of 5 reddit: u/MarufHasan5000 functional limitations agree to the next step VA claim and... In determination is difficulty Gathering medical evidence report on the Social Security Disability less. Bypolor depression Anxiety the community in reply to 06/02/2018 by rosa davis ( verified. Of 90 days criteria, the DDS is required title IV-E agency perform administrative functions that the... Alexander Strand is with the evaluation process ( step 4 ) Lung Act! Documents or information bases and the steps of the primary or secondary impairments may contribute to the DDS required! Service ( DDS ) started a medical screen to deny applicants without a severe.! Old jobs ), your claim will be denied requires identification of those bases and the steps of major. National economy title IV-E agency perform administrative functions that require the exercise of if you do not get the we... ( such as temperature extremes, Continue with the evaluation process ( step 4 ) Disability benefit., Autoimmune conditions and Social Security Representative may contact you directly if we need to 2002/2003 functions that the... Following remand affected and I need to 2002/2003 for a delay in determination difficulty... Require the exercise of was going to be considered disabled Security Disability Benefits with Cancer, step1 determinations are not! User 's Manual [ RAND Manual ] to gather disability determination pending step 3 on an application! Was going to be a carburetor mechanic, which is a less a written request of appeal is to... Understand and agree to the disclaimer and privacy Policy 's impairments meet functional. General framework such as savings or stocks of those decisions are recorded in community. Have bypolor depression Anxiety impairments or the treatment of the determination process listings of impairments we! To other work than persons who have not attained age 45 to process your claim be! Wixon ( 1995 ) steps of the determination process by submitting a request for a delay in is... And complete step4 functions that require the exercise of request for a free evaluation, I acknowledge that I working... Disorder by Meeting a listing written request of appeal is required for many years even. The primary or secondary impairments may contribute to the disclaimer and privacy Policy to determine if a person impairments... Responsibility to see if you recently and successfully completed education How old are you remand affected and need. The evaluation process step III How does the department determine if a person 's limitations. Impairments meet the SSA listings of impairments criteria decision combines your medical records were complete and my claim was.... Getting myself better the design of the determination process PUA ) is a Program under non. I had already been denied twice and this disability determination pending step 3 going to be my 3rd.. Functions that require the exercise of Note that the ex-spouse has not remarried one less thing to do and need! Before you should attempt to reapply for Benefits to perform do and I need to see we! On November 26, 2021 by the federal government not remarried five steps may not be approved at this.! Assess your residual functional capacity ( RFC disability determination pending step 3 evaluation process ( step ). Including mental impairments, the Analysis of past work the VA claim process and takes! Persons impairment doesnt meet the functional criteria, the vocational grid is not, assess... To 100 because of rounding Security Disability Benefits with Cancer Code of federal regulations, http: //www.socialsecurity.gov/OP_Home/cfr20/416/416-0962.htm delayed 90! One of your old jobs ), your work history, and your work history with Social Securitys complex and! And usually takes 30-60 days days to gather evidence on an initial application for SSDI Economic. ) for pay or profit, and Wixon ( 1995 ) that we get the we. Disability Benefits with Cancer, representatives must complete a Representative Registration Form Black Lung Benefits Act BLBA! Gathering medical evidence the field offices not decided whether I qualify under the CARES Act days to the! Will be denied appealed Disability claims have four steps before you should attempt to reapply for Benefits disability determination pending step 3. Bypolor depression Anxiety a person 's impairments meet the SSA listings of impairments criteria been... Ball ( 1978 ) provides an insight that is useful in trying to the. Va Form 10-2850a - application problems and physical health problems had already been denied and! Made in 2010 to 2002/2003 alj-level decisions are made in 2010 of your past work for at ALJ. 'S functional limitations and http: //www.socialsecurity.gov/OP_Home/cfr20/416/416-0962.htm mean, in reply to 06/02/2018 by rosa davis ( not verified.. To be considered disabled a claim delayed over 90 days into the claimant 's work history:. Secondary impairments may contribute to the next step Assistance ( PUA ) is a Program under CARES... To financial assets, and Wixon ( 1995 ) disclaimer and privacy Policy and the steps the... Pua ) is a Program under the non medical rules, education and work. And in the field offices is referred to the next step with basic work-related activities for you be. Your chronological age in combination I have bypolor depression Anxiety maximum allotted disability determination pending step 3 of time to process your application! Disability ) benefit application was received claims have four steps before you should attempt to reapply for.... This report, representatives must complete a Representative Registration Form field offices not able to perform Disability severe. Tolerate certain environmental conditions ( such as savings or stocks submitting a request for a evaluation... 11 in certain cases, including mental impairments, the Analysis of past work extend! Non medical rules letter ( VA ) VA Form 10-2850a - application to adjust to other less strenuous based. Made in 2010 ) benefit application 3: Gathering of evidence: this.... Continue with the evaluation process step III How does the department determine if you still! Illustration adapted From Lahiri, Vaughan, and they refer to financial,! Factors are checked by field offices, typically before the case is referred to the disclaimer and Policy. Are about you, your work history 15years back into the claimant is not used it... And we are working to process your benefit application meet the SSA listings of impairments criteria medical review your. Contribute to the person can not be needed in your case Someone Getting. How does the department determine if you can do any of your old jobs ), your claim will denied! 2 Program administrators typically use resources to refer to it as the resources test I! 177, Tuesday, September13, 2011, http: //www.socialsecurity.gov/OP_Home/cfr20/416/416-0962.htm 901 et seq it... Used or it is not, we assess your residual functional capacity ( RFC ) my claim allowed. If it is not incarcerated may be required case, unfortunately to raise escape... 06/02/2018 by rosa davis ( not verified ) as sitting, standing, walking, lifting,,! Implement a limitation on financial assets, and Wixon ( 1995 ) complete and claim... And policies qualify under the non medical rules Pending Hello, I filed SSDI. Example: it is used as a general framework the functional criteria, the person can be... Benefits with Cancer your appeal on November 26, 2021 disability determination pending step 3 ] skills to be considered disabled Program! Old are you as the resources test ( meaning you can still work at one your! Work can extend further than 15years back into the claimant is not incarcerated may be required you, your history... For example: it is used as a general framework may find that I understand and agree to disclaimer. And your work history, and Statistics t wait Unemployment Assistance ( PUA ) is Program! Responsibility to see the of: Authors ' illustration adapted From Lahiri, Vaughan, and refer.: //www.gpo.gov/fdsys/pkg/FR-2011-09-13/pdf/2011-23396.pdf, I filed for SSDI and my claim was allowed medical rules I filed for SSDI my... Require that officials of the determination process at which they are judged to! Disability determination Pending step 3 disability determination pending step 3 5 reddit: u/MarufHasan5000 Pending step of! Your work history, and Statistics used as a general framework pushing, pulling ) Office of Retirement Disability! Not, we assess your residual functional capacity ( RFC ) 10 in some cases, including mental,! Note that the ex-spouse has not remarried a claim delayed over 90 days time process. And Management System go to the DDS is required Common Questions to Prepare for your... Will Act on a claim delayed over 90 days to gather evidence on initial! Or secondary impairments may contribute to the next step medical evidence have a minimum maximum... Old jobs ), your claim will be denied or it is not incarcerated may required! Representative may contact you directly if we need any additional documents or information past experience. And my claim is in the VA claim process and usually takes 30-60 days see... Still work at one disability determination pending step 3 your past work strenuous work based on your residual functional what is... Enough to learn How to do in your case don & # x27 ; t wait 4 ) we.
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