Information Collection

i454 - Continuing Disability Review Report - Internet Version

IC 250562 under ICR 202506-0960-004 · OMB 0960-0072.

Documents and Forms

Document Name Document Type
i454 - Revised Screens.pdf www.myssa.gov Other-Internet Screens
i454 - Revised Screens.pdf www.myssa.gov Other-Internet Screens
i454 - Revised Screens.pdf Currently Approved i454 Screens IC Document
i454 - Revised Screens.pdf Currently Approved i454 Screens IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	i454 - Continuing Disability Review Report - Internet 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-Internet Screens			i454 - Revised Screens.pdf	www.myssa.gov	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: 45,763	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	45,763	-35,387	81,150
Annual IC Time Burden (Hours)	461,444	-187,756	649,200
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Currently Approved i454 Screens	i454 - Revised Screens.pdf	01/09/2026

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].