Disability Update Report 20 CFR 404.1589-404.1595; 20 CFR 416.988-416.996

ICR 200509-0960-001

OMB: 0960-0511

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0960-0511 200509-0960-001
Historical Active 200409-0960-014
SSA
Disability Update Report 20 CFR 404.1589-404.1595; 20 CFR 416.988-416.996
Extension without change of a currently approved collection   No
Regular
Approved without change 10/18/2005
Retrieve Notice of Action (NOA) 09/07/2005
  Inventory as of this Action Requested Previously Approved
10/31/2008 10/31/2008 10/31/2005
981,000 0 981,000
245,250 0 245,250
0 0 0

Forms SSA-455 and SSA-455-OCR-SM are used by SSA to collect information when the continuing disability review (CDR) diary of a recipient of SSA-administered benefits, based on disability, has matured or there is an indication of possible medical improvement. The information collected from beneficiaries is reviewed by specialists in the evaluation of work and earnings and in disability adjudication. The respondents are recipients of benefits, based on disability, under title II and/or XVI of the Social Security Act.

None
None


No

1
IC Title Form No. Form Name
Disability Update Report 20 CFR 404.1589-404.1595; 20 CFR 416.988-416.996 SSA-455, SSA-455-OCR-SM

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 981,000 981,000 0 0 0 0
Annual Time Burden (Hours) 245,250 245,250 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/07/2005


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