EDCS Screens/Interview - Full Version

Continuing Disability Review Report

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0072 can be found here:

Documents and Forms

Document Name Document Type
SSA-454 - Adult EDCS Screenshots (Revised).pdf Other-Internal Use Screens
SSA-454 - Adult EDCS Screenshots (Revised).pdf Other-Internal Use Screens
SSA-454 CHILD EDCS Screenshots (Revised Version).pdf Other-Internal Use Screens
SSA-454 CHILD EDCS Screenshots (Revised Version).pdf Other-Internal Use Screens
SSA-454 - ADULT EDCS Screenshots (Revised Version).pdf Current EDCS Screens for Adult CDR IC Document
SSA-454 - ADULT EDCS Screenshots (Revised Version).pdf Current EDCS Screens for Adult CDR IC Document

Information Collection (IC) Details

IC Title:	EDCS Screens/Interview - Full Version	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.989 20 CFR 404.1589

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internal Use Screens			SSA-454 - Adult EDCS Screenshots (Revised).pdf		Yes	Yes	Fillable Fileable Signable
Other-Internal Use Screens			SSA-454 CHILD EDCS Screenshots (Revised Version).pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 270,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	270,500	270,500
Annual IC Time Burden (Hours)	2,407,450	2,407,450
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Current EDCS Screens for Adult CDR	SSA-454 - ADULT EDCS Screenshots (Revised Version).pdf	01/30/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.