Information Collection Request
Continuing Disability Review Report
ICR 202301-0960-003 · OMB 0960-0072 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0960-0072 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form SSA-454-BK SSA-454-BK, Continuing Disability Review Report - Full Paper Version |
Form | Modified | Repair queued |
| Form SSA-454-BK SSA-454-BK, Continuing Disability Review Report - Full Paper Version |
Form | Modified | Repair queued |
 Justification for a Non-Substantive Changes - 0072.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-01-30 | Repair queued |
| Justification for a Non-Substantive Changes - 0072.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-01-30 | Repair queued |
 SSA-454 - Adult EDCS Screenshots (Revised).pdf |
Supplementary Document | Uploaded 2023-01-30 | Repair queued |
| SSA-454 - Adult EDCS Screenshots (Revised).pdf |
Supplementary Document | Uploaded 2023-01-30 | Repair queued |
| i454 Screens Package (Revised).pdf |
Supplementary Document | Uploaded 2023-01-30 | Available |
| i454 Screens Package (Revised).pdf |
Supplementary Document | Uploaded 2023-01-30 | Repair queued |
| SSA-454-BK (Revised).pdf |
Supplementary Document | Uploaded 2023-01-30 | Available |
| SSA-454-BK (Revised).pdf |
Supplementary Document | Uploaded 2023-01-30 | Repair queued |
| Addendum - 0072 (Final).docx |
Supplementary Document | Uploaded 2023-01-30 | Available |
| Addendum - 0072 (Final).docx |
Supplementary Document | Uploaded 2023-01-30 | Repair queued |
| Supporting Statement - 0072 (Final).docx |
Supporting Statement A | Uploaded 2023-01-30 | Available |
| Supporting Statement - 0072 (Final).docx |
Supporting Statement A | Uploaded 2023-01-30 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 9017 |  SSA-454-BK, Continuing Disability Review Report - Full Paper Version |
Form | Modified | |
| 9017 | SSA-454-BK, Continuing Disability Review Report - Full Paper Version |
Form | Modified | |
| 250562 | i454 - Continuing Disability Review Report - Internet Version |
Other-Internet Screens | Modified | |
| 189923 | EDCS Screens/Interview - Full Version |
Other-Internal Use Screens | Modified |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | SSA |
| OMB Control No | 0960-0072 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202111-0960-010 |
| Date Submitted to OIRA | 2023-01-30 |
| Requested Expiration Date | 1969-12-31 |