Currently Approved i454 Screens

MINOR REVISIONS TO THE MEDICAL CONTINUING DISABILITY
REVIEW (MCDR) APPLICATION
I454

Screen Package Document – Medical CDR Application

1. Background
The i454 Medical CDR Application is an internet application that allows authorized SSA disability beneficiaries to
submit an SSA-454 (Continuing Disability Review Report) to SSA via the Internet. Users will receive an email
after submission and can print their SSA-827 and SSA-454. The changes outlined below describe changes to our
screens since our last screen package submission. The changes are minor wording changes, formatting/design
changes. We are not adding new modalities, removing or adding questions, changing the order or questions or
changing the scope of clearance.

2. Summary of Changes
2.1.

Status tag on the SSA Landing Page

While the SSA Landing Page is outside the scope of our application, our prior screen package incorrectly showed
the ‘Action Required’ status tag in uppercase letters. As such, we are providing this screen revision in our
package:

2.2.

Privacy Act Statement Language

The Privacy Act Statement language was changed in May, 2023 by OMB. As such, we a providing this screen
revision in our package for compliance.

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Screen Package Document – Medical CDR Application

2.3.

Instructional Text Modification for Accuracy

On the Instruction page, the sentence, “Please complete as much of the report as you can.” has been removed.
This was an instruction from the paper SSA-454 that is not applicable to i454 because the user must complete all
required questions before being able to submit their application:

2.4.

Text Modification to the Other Medical Information Page

To comply with ODP’s change in wording, we updated the text on the Other Medical Information page:

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Screen Package Document – Medical CDR Application

2.5.

Previously Omitted Screens from Last Screen Package

The prior screen package neglected to include a warning notice for instances there are propagated items
from the user’s last review that require their review. As such, we are providing those screenshots:
On the Medicine Page:

On the Medical Provider Page:

Additionally, the prior screen package did not include a screen shot of the right side navigation panel showing
the success and warning icons for our application sections:

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Screen Package Document – Medical CDR Application

The prior screen package did not include a screen shot of the read-only copy of the electronically signed SSA827 from the receipt page. As such, we are including this screen shot:

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Screen Package Document – Medical CDR Application

Lastly, there were two dialog boxes that were not included in our previously submitted OMB package when a
user happens to select a link from the mySSA header to navigate away from their report and if they select the
‘Sign Out’ link. This language will be updated once our application updates to UEF 3.0, but until then the
language is being kept as below:

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Screen Package Document – Medical CDR Application

2.6.

Correction to Character Count Maximum for the Remarks page

The prior screen package included a screenshot showing a maximum character count of 6000 for the Remarks
page. The correct maximum allowed is 5500.

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Screen Package Document – Medical CDR Application

2.7.

Inclusion of Header on the Receipt page

The prior screen package did not include the header “Information You Submitted” on the Receipt pop-up. To
be consistent with production, we are including this change in our new screen package.

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