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Addendum to the Supporting Statement for Form SSA-3462

ICR 201911-0960-004 · OMB 0960-0511 · Object 96546501.

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Addendum to the Supporting Statement for Form SSA-3462
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2019-11-18
2026-08-24
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Addendum to the Supporting Statement for Form SSA-455
Disability Update Report
20 CFR 404.1589-404.1595 and 416.988-416.996
OMB No. 0960-0511

Background

This is a request for modification of the burden for Form SSA-455, Disability Update Report, related to the regulation, Rules Regarding the Frequency and Notice of Continuing Disability Reviews, RIN 0960‑AI27, published on November 18, 2019 at 84 FR 63588.  We propose to revise our regulations regarding when and how often we conduct continuing disability reviews (CDR), which are periodic reviews of eligibility required for benefit continuation.  The proposed rules would add a category to the existing medical diary categories that we use to schedule CDRs and revise the criteria for assigning each of the medical diary categories to cases. The proposed rules would also change the frequency with which we perform a CDR for claims with the medical diary category for permanent impairments.  The revised changes would ensure that we continue to maintain appropriate stewardship of the disability program and identify medical improvement (MI) at its earliest point.

We are not revising 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 are re‑approval under the Paperwork Reduction Act

Revisions to the Collection Instruments 
SSA is revising the burden chart for Form SSA-455 due to the regulation, RIN 0960‑AI27 as follows:

Modality of Completion
Number of Respondents
Frequency of Response
Average Burden per Response (minutes)
Estimated Total Annual Burden (hours)
Average Hourly Wage (dollars)*
Total Annual Opportunity Cost (dollars)**
SSA-455
1,300,000
1
15
325,000
$10.22
$3,321,500
* We based this figure on average DI payments.

** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application.  There is no actual charge to respondents to complete the application.

SSA will implement these burden changes immediately upon OMB’s approval of the Final Rule for RIN 0960‑AI27.