Information Collection

Disability Update Report (Mail-in process)

IC 9418 under ICR 202303-0960-005 · OMB 0960-0511.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0511 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-455 Disability Update Report (Mail-in process)	Form and Instruction
Form SSA-455 Disability Update Report Disability Update Report (Mail-in process)	Form and Instruction
Form SSA-455 Disability Update Report Disability Update Report (Mail-in process)	Form and Instruction
Form SSA-455-OCR-SM Disability Update Report (scannable version) Disability Update Report (Mail-in process)	Form and Instruction
SSA-455 Disability Update Report SSA-455 - Revised (Fillable and Submittable for COVID-19 Situation).pdf	Form and Instruction
SSA-455 Disability Update Report SSA-455 - Revised (Fillable and Submittable for COVID-19 Situation).pdf	Form and Instruction
SSA-455 Disability Update Report SSA-455 (Revised Version).pdf	Form and Instruction
SSA-455 Disability Update Report SSA-455 (Revised Version).pdf	Form and Instruction
SSA-455-OCR-SM Disability Update Report (scannable version) SSA-455-OCR-SM (Revised Version).pdf	Form and Instruction
SSA-455-OCR-SM Disability Update Report (scannable version) SSA-455-OCR-SM (Revised Version).pdf	Form and Instruction

IC Title:

Disability Update Report (Mail-in process)

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 416.988-.996 20 CFR 404.1589-1595

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-455		Yes	Yes	Fillable Fileable Signable
Form and Instruction	SSA-455	www.ssa.gov	No		Paper Only
Form and Instruction	SSA-455-OCR-SM		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,299,900

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,299,900	1,299,900
Annual IC Time Burden (Hours)	324,975	324,975
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].