EDPNA TESTS COMPILATIONS CONCEPT
REVIEW GUIDE 2026 LEARNING DISABILITIES
AND DIAGNOSTIC REPORTING
◉ Good Cause for Late Filing (Citations: 404.911, 416.1411).
Answer: If an appeal deadline is missed, and the claimant wants to
appeal, he or she must show "good cause" for late filing.
◉ Examples of good cause are described in 404.911:.
Answer: • You were seriously ill and were prevented from contacting
us in person, by phone, in writing, or through a friend, relative, or
other person;
• There was a death or serious illness in your immediate family;
• Important records were destroyed or damaged by fire or other
accidental cause;
• You were making serious efforts to find necessary information to
support the claim but had not been able to obtain it within the
stated time periods;
• You requested additional information from us explaining this
action within the time limit. Within 60 days of receiving the
explanation you requested reconsideration or a hearing, or within
30 days of receiving the explanation you requested Appeals Council
review or filed a civil suit;
,• We gave you misleading, incorrect or incomplete information
about when and how to request administrative review or to file a
civil suit;
• You did not receive notice of the determination or decision;
• You sent the request to another government agency in good faith
within the time limit and the request did not reach us until after the
time period had expired; or
• Unusual or unavoidable circumstances exist, which show that you
could not have known of the need to file timely, or which prevented
you from filing timely.
◉ SSA will consider the following for deciding whether a claimant
had good cause.
Answer: • What circumstances kept the claimant from making the
request on time;
• Whether SSA's action mislead the claimant;
• Whether the claimant did not understand the requirements;
• Whether the claimant had any physical, mental, educational, or
linguistic limitations which prevented them from making a timely
request or from understanding or knowing about the need to file a
timely request for review.
◉ Social Security Disability Insurance SSDI.
Answer: Title XVI
,◉ SSDI Eligibility.
Answer: 1. Is the applicant under full retirement age (66)?
2. Is the applicant fully insured?
3. Is the applicant insured for disability?
◉ Auxiliary Benefits.
Answer: Benefits can be paid to the disabled worker's family in some
cases. Benefits can be paid to dependent children under the age of
18 or a spouse (or divorced spouse if married for 10 years) under
the age of 62 who has joint care of the children.
◉ Supplemental Security Insurance SSI.
Answer: Title II
◉ Supplemental Security Insurance SSI Citation.
Answer: CFR 20 Section 416
◉ SSI.
Answer: No work requirement
Children can qualify as disabled
No retroactive benefits earlier than filing date
Strict income and resource provisions
, ◉ Definition of Disability.
Answer: Citations: 404.1505, 416.905
The inability to do any substantial gainful activity (SGA) by reason of
any medically determinable physical or mental impairment(s) which
can be expected to result in death, or which has lasted or can be
expected to last for a continuous period of not less than 12 months.
◉ Insured Status.
Answer: 1. An individual must be fully insured
2. as a general rule they must meet to 20/40 requirement. (5 of last
10 years)
◉ Insured status.
Answer: Quarters of Coverage at least 6 Quarters
One of Four For every year beginning with the year after attainment
of age 21 up until the age you turn 62 or you die
◉ Rules of Disability Insured Status (SSDI Only).
Answer: Citations: 404.130, 404.131, and 404.140
Rule 1 - 20/40:You have to have 20 quarters of coverage in the 40-
quarter period ending with the quarter that you became disabled.
This is called the 20/40 rule. Or essentially, you have worked five
years out of the last ten years, before you became disabled.
REVIEW GUIDE 2026 LEARNING DISABILITIES
AND DIAGNOSTIC REPORTING
◉ Good Cause for Late Filing (Citations: 404.911, 416.1411).
Answer: If an appeal deadline is missed, and the claimant wants to
appeal, he or she must show "good cause" for late filing.
◉ Examples of good cause are described in 404.911:.
Answer: • You were seriously ill and were prevented from contacting
us in person, by phone, in writing, or through a friend, relative, or
other person;
• There was a death or serious illness in your immediate family;
• Important records were destroyed or damaged by fire or other
accidental cause;
• You were making serious efforts to find necessary information to
support the claim but had not been able to obtain it within the
stated time periods;
• You requested additional information from us explaining this
action within the time limit. Within 60 days of receiving the
explanation you requested reconsideration or a hearing, or within
30 days of receiving the explanation you requested Appeals Council
review or filed a civil suit;
,• We gave you misleading, incorrect or incomplete information
about when and how to request administrative review or to file a
civil suit;
• You did not receive notice of the determination or decision;
• You sent the request to another government agency in good faith
within the time limit and the request did not reach us until after the
time period had expired; or
• Unusual or unavoidable circumstances exist, which show that you
could not have known of the need to file timely, or which prevented
you from filing timely.
◉ SSA will consider the following for deciding whether a claimant
had good cause.
Answer: • What circumstances kept the claimant from making the
request on time;
• Whether SSA's action mislead the claimant;
• Whether the claimant did not understand the requirements;
• Whether the claimant had any physical, mental, educational, or
linguistic limitations which prevented them from making a timely
request or from understanding or knowing about the need to file a
timely request for review.
◉ Social Security Disability Insurance SSDI.
Answer: Title XVI
,◉ SSDI Eligibility.
Answer: 1. Is the applicant under full retirement age (66)?
2. Is the applicant fully insured?
3. Is the applicant insured for disability?
◉ Auxiliary Benefits.
Answer: Benefits can be paid to the disabled worker's family in some
cases. Benefits can be paid to dependent children under the age of
18 or a spouse (or divorced spouse if married for 10 years) under
the age of 62 who has joint care of the children.
◉ Supplemental Security Insurance SSI.
Answer: Title II
◉ Supplemental Security Insurance SSI Citation.
Answer: CFR 20 Section 416
◉ SSI.
Answer: No work requirement
Children can qualify as disabled
No retroactive benefits earlier than filing date
Strict income and resource provisions
, ◉ Definition of Disability.
Answer: Citations: 404.1505, 416.905
The inability to do any substantial gainful activity (SGA) by reason of
any medically determinable physical or mental impairment(s) which
can be expected to result in death, or which has lasted or can be
expected to last for a continuous period of not less than 12 months.
◉ Insured Status.
Answer: 1. An individual must be fully insured
2. as a general rule they must meet to 20/40 requirement. (5 of last
10 years)
◉ Insured status.
Answer: Quarters of Coverage at least 6 Quarters
One of Four For every year beginning with the year after attainment
of age 21 up until the age you turn 62 or you die
◉ Rules of Disability Insured Status (SSDI Only).
Answer: Citations: 404.130, 404.131, and 404.140
Rule 1 - 20/40:You have to have 20 quarters of coverage in the 40-
quarter period ending with the quarter that you became disabled.
This is called the 20/40 rule. Or essentially, you have worked five
years out of the last ten years, before you became disabled.
