No later than two weeks after conclusion, the agency will conduct a non-substantive change to update the addendum, iCDR instrument, SSA-454 instrument, and the Supporting Statement to reflect agreed-upon changes between the agency and OMB as appropriate. Updates in this non-substantive change should include all revisions to verbiage on the SSA-454 and iCDR that will be implemented in the go-live versions of the form and web-page, which includes changes SSA agreed upon in passback materials as well as indicating, to the extent possible, that Activities of Daily Living Questions "A" ("Typical day") and "B" ("Hobbies and Interests") are optional for respondents. In the addendum, the agency should make revisions to any responses to public comment that warrant update based on the agreed-upon changes to the instruments. In the addendum, the agency should revise the "Revisions to the Information Collection" section to describe all agreed-upon revisions to the instruments by May 31, 2023, including removing the "Activities Daily Living" questions,. If necessary, the agency should make revisions to the Supporting Statement.
No later than May 31, 2023, the agency will conduct a second non-substantive change to complete further revisions to this ICR as agreed-upon by the agency and OMB during this review. This revision will include removing the Activities of Daily Living Questions "A" ("Typical day") and "B" ("Hobbies and Interests") as well as minor changes to instructions and verbiage as already agreed-upon between the agency and OMB. The agency may also make additional changes to verbiage and instructions contingent on agreement related to outstanding items of discussion.
The agency will continue to engage with OMB regarding their rollout plan to governmental and external stakeholders.
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
01/31/2026
36 Months From Approved
01/31/2023
541,000
0
541,000
4,741,865
0
541,000
0
0
0
Sections 221(i), 1614(a)(3)(H)(ii)(I) and 1633(c)(1) of the Social Security Act (Act) require SSA to periodically review the cases of individuals who receive benefits under Title II or Title XVI based on disability to determine if their disability continues. SSA considers adults eligible for disability payments if they continue to be unable to do substantial gainful activity because of their impairments, and we consider Title XVI children eligible for disability payment if they have marked and severe functional limitations because of their impairments. To assess claimantsâ ongoing disability payment eligibility, SSA uses the information gathered through the Continuing Disability Review Report to complete a mandatory review for the continue disability review (CDR).
SSA also uses the Continuing Disability Review Report to obtain information on sources of medical treatment; participation in vocational rehabilitation programs (if any); attempts to work (if any); and recipientsâ assessments when they believe their conditions improved. Title II or Title XVI disability recipients can complete the Continuing Disability Review Report using one of three modalities: (1) a paper application or fillable PDF (using Form SSA 454 BK); (2) a field office interview, during which SSA employees enter claimantâs data directly into the Electronic Disability Collection System (EDCS); or (3) using an online system (i454). This new web-based modality will provide recipients a new platform for submitting information to increase accessibility and enhance automation.
When SSA initiates a medical CDR, we send a mailed notice to the individual with a disability informing that individual that SSA requires a CDR. The mailed notice provides instructions to the recipient on how to assist the agency with initiating the CDR and gives the individual the option to complete a paper SSA-454 or an i454 for adult only disabled individuals. When an individual requires a CDR, a claims specialist (CS) mails the paper Form SSA-454-BK, and the respondent completes the form, and sends or brings it back to SSA; or the CS interviews the respondent and enters the information into the appropriate EDCS screens; or adult disabled individuals complete the SSA 454 BK electronically using the i454 Internet application. Regardless of the modality the respondent uses to complete the information (paper, EDCS, or Internet versions), SSA electronically stores the information provided in EDCS. The respondents complete the SSA-454-BK by themselves with self-help information available, or a representative may complete the paper form or electronic application on their behalf. The respondents are Title II or Title XVI disability recipients or their representatives.
US Code:
42 USC 421
Name of Law: Social Security Act
US Code:
42 USC 405
Name of Law: Social Security Act
US Code:
42 USC 423
Name of Law: Social Security Act
US Code:
42 USC 1382c
Name of Law: Social Security Act
US Code:
42 USC 1383
Name of Law: Social Security Act
US Code:
42 USC 1383b
Name of Law: Social Security Act
When we last cleared this IC in 2019, the burden was 60 minutes. However, we are currently reporting a burden of 480 minutes. This change stems from an increase in the completion time from 60 minutes to 480 minutes. We updated the burden estimate for the completion time due to public comments we received regarding the burden for form completion, and the comments we heard during Usability Testing. In addition, we addressed public concerns to reduce this burden by focusing on ways to assist the public when completing this form. As explained in our Addendum, we removed free format narrative responses, added checkbox tables, simplified the language in the questions, clarified the instructions page and removed redundancy language from the original version of the form, causing an overall decrease in completion time and the resulting change in burden. Please see the Addendum for more information regarding the revisions to the form.
However, we are also adding a new modality to this collection, the Internet-based application, i454. While we do not anticipate any change in the overall burden for the implementation of this new Internet modality, we will monitor the management information data for it after we implement it. We will revise our burden data via Change Request if we see any change once the new modality is in use. Please see the Addendum for more information regarding this new modality.
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.
Form SSA-454-BK Continuing Disability Review Report
Supporting Statement - 0072 (Final).docx
SSA-454-BK, Continuing Disability Review Report - Full Paper Version