Disability Update Report

Forms and Documents

Document Name	Status
Form SSA-455 Disability Update Report Form and Instruction	Modified
Addendum - 0511 (for RIN 0960-AI27).docx Supplementary Document	2019-11-18
Supporting Statement - 0511.docx Supporting Statement A	2019-11-18

IC Document Collections

IC ID	Document Title	Status
9418	Disability Update Report Form and Instruction	Modified

ICR Details

OMB Control No: 0960-0511	ICR Reference No: 201911-0960-004
Status: Historical Inactive	Previous ICR Reference No: 201701-0960-006
Agency/Subagency: SSA	Agency Tracking No:
Title: Disability Update Report
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule and continue	Conclusion Date: 03/04/2020
	Date Received in OIRA: 11/18/2019
Terms of Clearance: OMB files this comment in accordance with 5 CFR 1320.11( c ). This OMB action is not an approval to conduct or sponsor an information collection under the Paperwork Reduction Act of 1995. This action has no effect on any current approvals. If OMB has assigned this ICR a new OMB Control Number, the OMB Control Number will not appear in the active inventory. For future submissions of this information collection, reference the OMB Control Number provided. SSA will address public comments received on the NPRM.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2020	36 Months From Approved	09/30/2020
Responses	1,500,000	0	1,500,000
Time Burden (Hours)	375,000	0	375,000
Cost Burden (Dollars)	0	0	0

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Abstract: Periodically SSA uses Form SSA-455, the Disability Report Update, to evaluate current Title II disability beneficiaries and Title XVI disability payment recipients' continued eligibility for Social Security disability payments. Specifically, SSA uses the form to determine if: (1) there is enough evidence to warrant referring the respondent for a full medical Continuing Disability Review (CDR); (2) the respondent's impairment(s) is still present and is indicative of no medical improvement, precluding the need for a CDR; or (3) there are unresolved work-related issues for the respondent. SSA mails Form SSA-455 to specific disability recipients, whom we select as possibly qualifying for the continuing disability review process. SSA pre-fills the form with data specific to the disability recipient, except for the sections we ask the beneficiary to complete. When SSA receives the completed form, we optically scan it into SSA's system. This allows us to gather the information electronically to enable SSA to process the returned forms through automated decision logic to decide the proper course of action we will take. The respondents are recipients of Title II and Title XVI Social Security disability payments. We are not revising the form in any way to support these proposed rules. However, because the core policy of the proposed rule will cause a change in the frequency of use of these forms, increasing their public reporting burden for the first 10 years after implementation of the rule, we are seeking OMB are re-approval under the Paperwork Reduction Act.

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Authorizing Statute(s): US Code: 42 USC 1382c Name of Law: Social Security Act
   US Code: 42 USC 423 Name of Law: Social Security Act
   US Code: 42 USC 1383 Name of Law: Social Security Act
   US Code: 42 USC 421 Name of Law: Social Security Act
   US Code: 42 USC 1383b Name of Law: Social Security Act
   US Code: 42 USC 405 Name of Law: Social Security Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0960-AI27	Proposed rulemaking	84 FR 63588	11/18/2019

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Disability Update Report	SSA-455	Disability Update Report

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Regulations

Short Statement: Per most current management information data, the burden should reflect 1,100,000 respondents taking 15 minutes for a total burden of 275,000 hours. This differs from the currently approved 375,000 burden hours. The proposed rules to revise the regulations regarding when and how often we conduct CDR are projected to, if finalized, cause an increase to our public reporting burden from 275,000 to 325,000 hours. This change stems from the increased number of CDRs to be conducted per annum, resulting in an increased number of responses from 1,100,000 to 1,300,000. There is no change to the burden time per response. In addition, we are not revising the content of the SSA-455 in any way to support these proposed rules. However, because the core policy of the proposed rule will cause a change in the frequency of use of these forms, increasing their public reporting burden for the first 10 years after implementation of the rule, we are seeking OMB re approval under the Paperwork Reduction Act.

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Annual Cost to Federal Government: $33,000,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/18/2019

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