Disability Update Report

Disability Update Report

OMB: 0960-0511

IC ID: 9418

Information Collection (IC) Details

View Information Collection (IC)

Disability Update Report
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
20 CFR 404.1589-1595 20 CFR 416.988-.996

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-455 Disability Update Report SSA-455 - Revised.pdf No   Paper Only
Form and Instruction SSA-455 Disability Update Report SSA-455 - Revised Fillable Version.pdf No   Fillable Printable
Other-Revised PA Statement Updated PA Statement.pdf No   Fillable Printable

Income Security General Retirement and Disability

 

1,500,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,500,000 0 0 0 0 1,500,000
Annual IC Time Burden (Hours) 375,000 0 0 0 0 375,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current Version - SSA-455 SSA-455 - Current.pdf 03/01/2017
Current Fillable Version - SSA-455 SSA-455 - Current Fillable Version.pdf 03/01/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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