OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Disability Update Report (Telephone Interview Process)

IC 243650 under ICR 202603-0960-001 · OMB 0960-0511.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Other-SSA-455 Privacy Act Statement
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Disability Update Report (Telephone Interview Process)
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 416.988-.996 20 CFR 404.1589-1595

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-455 Disability Update Report SSA-455 (revised).pdf Yes Yes Fillable Fileable Signable
Form and Instruction SSA-455-OCR-SM Disability Update Report (scannable version) SSA-455-OCR-SM.pdf No   Paper Only
Other-SSA-455 Privacy Act Statement (revised) SSA-455 Privacy Act Statement (revised).docx No   Paper Only

Income Security General Retirement and Disability

 

100 0
   
Individuals or Households
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 100 0 0 0 0 100
Annual IC Time Burden (Hours) 87 0 0 22 0 65
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-455 (current) SSA-455 (current).pdf 03/23/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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