                                                              [DO NOT PUBLISH]


              IN THE UNITED STATES COURT OF APPEALS

                       FOR THE ELEVENTH CIRCUIT
                         ________________________           FILED
                                                   U.S. COURT OF APPEALS
                                No. 09-16033         ELEVENTH CIRCUIT
                                                        AUGUST 6, 2010
                            Non-Argument Calendar
                                                          JOHN LEY
                          ________________________
                                                           CLERK

                 D. C. Docket No. 09-00322-CV-FTM-29-DNF

JOYCE L. KLAWINSKI,


                                                                Plaintiff-Appellant,

                                      versus

COMMISSIONER OF SOCIAL SECURITY,

                                                               Defendant-Appellee.


                          ________________________

                  Appeal from the United States District Court
                      for the Middle District of Florida
                       _________________________

                                 (August 6, 2010)

Before TJOFLAT, CARNES and FAY, Circuit Judges.

PER CURIAM:

     In this case, Joyce L. Klawinski, the claimant, sought review in the district
court of the Commissioner’s denial of her application for disability insurance

benefits (“DIB”), 42 U.S.C. §§ 405(g), 1383(c)(3).1 The review was conducted by

a magistrate judge with the parties’ consent. See 28 U.S.C. § 636(c). The

magistrate judge affirmed the Commissioner’s decision, and Klawinski now

appeals, presenting three arguments: (1) substantial evidence does not support the

findings of the administrative law judge (“ALJ”) that her past relevant work was

sedentary in nature and that she could perform her past relevant work; (2) the ALJ

contravened Social Security Ruling (“SSR”) 83-20 by failing to obtain a medical

expert during the hearing to determine her disability onset date; and (3) substantial

evidence, in the form of medical evidence and factors such as her daily activities

and the side effects from her medications, does not support the ALJ’s adverse

credibility finding which discounted her subjective pain testimony.

       Our review in this appeal is “demarcated by a deferential reconsideration of

the findings of fact and exacting examination of the conclusions of law.” Martin v.

Sullivan, 894 F.2d 1520, 1529 (11th Cir. 1990). The Commissioner’s factual

findings are conclusive if “supported by substantial evidence,” but the

“[Commissioner’s] conclusions of law, including applicable review standards, are



       1
         Klawinski’s application was heard before an administrative law judge and denied. The
Appeals Council denied Klawinski’s request for review; thus, the administrative law judge’s
decision became the final decision of the Commissioner.

                                              2
not presumed valid.” Id. (quotation omitted). Substantial evidence is “more than a

scintilla, but less than a preponderance,” in that “it is such relevant evidence as a

reasonable person would accept as adequate to support a conclusion.” Id.

(alterations and citation omitted).

      The Social Security regulations provide a five-step sequential evaluation

process for determining if a claimant has proven that she is disabled. See 20

C.F.R. §§ 404.1520, 416.920. At the first step, the claimant must prove that she

has not engaged in substantial gainful activity. At the second step, she must prove

that she has an impairment or combination of impairments that is severe. If, at the

third step, she proves that her impairment or combination of impairments meets or

equals a listed impairment, she is automatically found disabled regardless of age,

education, or work experience. If she cannot prevail at the third step, she must

proceed to the fourth step where she must prove that she is unable to perform her

past relevant work. If the claimant is unable to perform past relevant work, the

case proceeds to the fifth and final step of the evaluation process for a

determination of whether, in light of her residual functional capacity, age,

education, and work experience, the claimant can perform other work. Id.

                                           I.

      Klawinski argues that the ALJ erred in misclassifying her past secretarial



                                           3
work as sedentary when her specific duties in the family business actually involved

light level of exertion. She asserts that her past work was a “composite job,”

consisting of duties of a secretary, office manager, and clerk, because her past

position required her to stand and walk for more than four hours in an eight-hour

workday, pick up parts and deliver them to job sites, and work in the showroom.

She contends that the ALJ erred in only focusing on the less strenuous portion of

her past relevant work and subsequently in determining that she could still perform

those duties. She also contends that her composite position differs from the

Dictionary of Occupational Titles’s (“DOT”) definition of a “secretary,” and, thus,

the ALJ erred in finding that she could still work as a secretary as such position is

generally performed in the national economy.

      As noted above, if the claimant has a severe impairment that does not equal

or meet the severity of a listed impairment, the case proceeds to the fourth step of

the sequential evaluation process and the claimant’s RFC is compared with the

physical and mental demands of the claimant’s past relevant work. 20 C.F.R.

§ 404.1520(f). If it is found that the claimant can still perform her past relevant

work, the claimant is not disabled. Id.

      To determine the occupational exertion requirements in the national

economy, jobs are classified as sedentary, light, medium, heavy, and very heavy.



                                           4
20 C.F.R. § 404.1567. Sedentary work involves (1) lifting no more than ten

pounds at a time, (2) predominantly sitting, and (3) occasionally standing and

walking. Id. § 404.1567(a). Social Security Ruling 83-10 elaborates that “periods

of standing or walking should generally total no more than about 2 hours of an

8-hour workday, and sitting should generally total approximately 6 hours of an

8-hour workday.” Kelley v. Apfel, 185 F.3d 1211, 1213, n.2 (11th Cir. 1999).

Light work requires lifting no more than 20 pounds and frequently carrying 10

pounds, and a “good deal of walking or standing, or . . . sitting most of the time

with some pushing and pulling of arm or leg controls.” 20 C.F.R. § 404.1567(b).

To be considered capable of performing a full or wide range of light work, a

claimant must have the ability to do substantially all of the listed activities under

20 C.F.R. § 404.1567(b). Id.

      The DOT classifies a “secretary” as sedentary in nature, with the following

duties:

      Schedules appointments, gives information to callers, takes dictation,
      and otherwise relieves officials of clerical work and minor
      administrative and business detail: Reads and routes incoming mail.
      Locates and attaches appropriate file to correspondence to be
      answered by employer. Takes dictation in shorthand or by machine.

DOT Title 201.362-030. The DOT also defines the position of an “office

manager” as sedentary, which includes the following duties:



                                            5
      Coordinates activities of clerical personnel in establishment or
      organization: Analyses and organizes office operations and
      procedures, such as typing, bookkeeping, preparation of payrolls, flow
      of correspondence, filing, requisition of supplies, and other clerical
      services. Evaluates office production, revises procedures, or devises
      new forms to improve efficiency of workflow. Establishes uniform
      correspondence procedures and style practices. Formulates
      procedures for systematic retention, protection, retrieval, transfer, and
      disposal of records. Plans office layouts and initiates cost reduction
      programs. Reviews clerical and personnel records to ensure
      completeness, accuracy, and timeliness. Prepares activities reports for
      guidance of management, using computer. Prepares employee ratings
      and conducts employee benefit and insurance programs, using
      computer. Coordinates activities of various clerical departments or
      workers within department. May prepare organizational budget and
      monthly financial reports. May hire, train, and supervise clerical staff.
      May compile, store, and retrieve managerial data, using computer.

DOT Title 169.167-034.

      To support a finding that the claimant is able to return to her past relevant

work, the ALJ must (1) consider all the duties of that work and (2) evaluate the

claimant’s ability to perform them in spite of her impairments. Lucas v. Sullivan,

918 F.2d 1567, 1574 n.3 (11th Cir. 1990). The burden is on the claimant to show

that she can no longer perform her past relevant work as she actually performed it,

or as it is performed in the national economy. Jackson v. Bowen, 801 F.2d 1291,

1293-94 (11th Cir. 1986) (rejecting the claimant’s assertion that he could not

specifically perform his past job, which required him to climb and descend stairs,

because he failed to show that the position in general required climbing and



                                          6
descending stairs). Specifically, “[t]he regulations require that the claimant not be

able to perform his past kind of work, not that he merely be unable to perform a

specific job he held in the past.” Id. at 1293 (citing 20 C.F.R. §§ 404.1520(e),

416.920(e) (1986)). Accordingly, where the claimant’s specific prior job might

have involved functional demands and duties significantly in excess of those

generally required for such work by employers in the national economy, the

claimant must still demonstrate that, in addition to being unable to perform the

excessive functional demands actually required by her former job, she cannot

perform the functional demands and job duties of the position as generally required

by employers nationwide. SSR 82-61 (1982).

      We conclude that substantial evidence supports the ALJ’s findings that

(1) Klawinski’s past relevant work involved only a sedentary level of exertion, and

(2) she failed to meet her burden to show that she could not perform her past

relevant work.

                                          II.

      Klawinski argues that the ALJ erred in failing to comply with SSR 83-20 in

not calling a medical expert to the hearing to assess her RFC during the relevant

period, especially because the record did not contain any medical determination of

her RFC by the agency. She asserts that SSR 83-20 applies because the ALJ was



                                           7
required to determine retroactively whether she was disabled before the last

insured date of December 31, 2004, as well as the onset date of her disability.

Noting that we have not addressed the issue, she cites out-of-circuit law to address

the issue of whether a medical advisor’s testimony is necessary where an ALJ must

retroactively determine a claimant’s disability in the past and where the onset date

is ambiguous. She submits that SSR 83-20 particularly applies to a slowly

progressive disorder such as her knee condition.

      Social Security Rulings are agency rulings published under the

Commissioner’s authority and are binding on all components of the

Administration. Sullivan v. Zebley, 493 U.S. 521, 531 n.9, 110 S.Ct. 885, 891 n.9,

107 L.Ed.2d 967 (1990). Even though the rulings are not binding on us, we should

nonetheless accord the rulings great respect and deference, if the underlying statute

is unclear and the legislative history offers no guidance. B. ex rel. B. v. Schweiker,

643 F.2d 1069, 1071 (5th Cir. Unit B Apr. 1981).

      Social Security Ruling 83-20 states, in relevant part, that:

      In addition to determining that an individual is disabled, the
      decisionmaker must also establish the onset date of disability. In
      many claims, the onset date is critical; it may affect the period for
      which the individual can be paid and may even be determinative of
      whether the individual is entitled to or eligible for any benefits.

SSR 83-20. Further, SSR 83-20 defines the onset date of disability as “the first day



                                           8
an individual is disabled as defined in the Act and the regulations.” There are two

situations where the ruling suggests the need for the ALJ to call a medical advisor

during a hearing: (1) where it may be possible, based on medical evidence, to

“reasonably infer that the onset of a disabling impairment(s) occurred some time

prior to the date of the first recorded medical examination”; and (2) in terms of a

malignant neoplastic disease, “[t]o establish onset of disability prior to the time a

malignancy is first demonstrated to be inoperable or beyond control by other

modes of therapy.” Id.

      We conclude that the ALJ did not contravene SSR 83-20 because the ALJ

ultimately found that Klawinski was not disabled, and SSR 83-20 only required

the ALJ to obtain a medical expert in certain instances to determine a disability

onset date after a finding of disability.

                                            III.

      Klawinski argues that the ALJ’s refusal to credit her testimony regarding

pain and other symptoms she said she suffered is unsupported by substantial

evidence. Specifically, Klawinski asserts that the following items of medical

evidence in the record refute the ALJ’s finding discounting her back pain: (1) an

MRI report of her lumbar spine on May 16, 2003, which showed degenerative disc

disease, disk bulging, and osteoarthritic changes, and (2) an MRI report on



                                             9
April 11, 2005, which showed, among other things, lumbar spondylosis, multilevel

disc bulges, canal stenosis, facet arthropathy, and foraminal narrowing. This

showed that her back problems began before December 31, 2004, her last insured

date. Next, responding to the ALJ’s finding that she was not debilitated to the

point of being unable to perform daily activities, Klawinski contends that she did

not have to show an inability to “perform any daily activities” to establish

disability. She asserts, moreover, that the ALJ erred in failing to consider the

entire record, which indicates that (1) she was in too much pain to perform

housekeeping tasks such as doing laundry; (2) she hired a housekeeper to do most

of the cleaning; and (3) she was limited in terms of activities such as cooking,

shopping, and driving. She claims that the ALJ wrongly discredited her pain

testimony by citing her ability to perform sporadic and limited household chores,

as they do not preclude the presence of debilitating pain. Finally, she submits that

medical literature confirms that the various pain medications she was taking could

result in the side effects she experienced, and, thus, the ALJ erred in rejecting her

subjective complaints of those side effects.

      We apply a three-part pain standard when a claimant seeks to establish

disability through her own testimony regarding pain or other subjective symptoms.

Holt v. Sullivan, 921 F.2d 1221, 1223 (11th Cir. 1991). The pain standard



                                          10
requires:

      (1) evidence of an underlying medical condition and either
      (2) objective medical evidence that confirms the severity of the
      alleged pain arising from that condition or (3) that the objectively
      determined medical condition is of such a severity that it can be
      reasonably expected to give rise to the alleged pain.

Id. The Commissioner “must consider a claimant’s subjective testimony of pain”

if the claimant satisfies the three-part test. Foote v. Chater, 67 F.3d 1553, 1560

(11th Cir. 1995).

      If the record shows that the claimant has a medically determinable

impairment that could reasonably be expected to produce her symptoms, such as

pain, the ALJ must then evaluate the intensity and persistence of the symptoms so

that he can determine how the symptoms limit the claimant’s capacity for work.

20 C.F.R. § 404.1529(c)(1). In making this evaluation, the ALJ considers all of the

record, including the objective medical evidence, the claimant’s history, and

statements by the claimant and her doctors. Id. The ALJ also considers factors

such as the claimant’s daily activities, the effectiveness and side effects of her

medications, precipitating and aggravating factors, and other treatments and

measures that she has taken to relieve the symptoms. Id. § 404.1529(c)(3). “If the

ALJ decides not to credit a claimant’s testimony as to her pain, he must articulate

explicit and adequate reasons for doing so.” Foote, 67 F.3d at 1561-62. “A clearly



                                           11
articulated credibility finding with substantial supporting evidence in the record

will not be disturbed by a reviewing court.” Id. at 1562. If the ALJ fails to

articulate the reasons for discrediting subjective testimony, the testimony is

accepted as true. Wilson v. Barnhart, 284 F.3d 1219, 1225 (11th Cir. 2002).

      Substantial evidence supports the ALJ’s discounting of Klawinski’s

subjective pain testimony as unsupported by objective medical evidence and by

factors such as her daily activities and the side effects of her medications.

      In conclusion, we find no basis in Klawinski’s arguments for setting aside

the district court’s decision. It is, accordingly,

      AFFIRMED.




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