Information Collection

Disability Update Report (Telephone Interview Process)

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-455 Disability Update Report Disability Update Report (Telephone Interview Process)	Form and Instruction
Form SSA-455-OCR-SM Disability Update Report (scannable version) Disability Update Report (Telephone Interview Process)	Form and Instruction
SSA-455 Privacy Act Statement (revised).docx	Other-SSA-455 Privacy Act Statement
SSA-455 Disability Update Report SSA-455 (revised).pdf	Form and Instruction
SSA-455-OCR-SM Disability Update Report (scannable version) SSA-455-OCR-SM.pdf	Form and Instruction
SSA-455 (current).pdf SSA-455 (current)	IC Document

IC Title:

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.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-455	Yes	Yes	Fillable Fileable Signable
Form and Instruction	SSA-455-OCR-SM	No		Paper Only
Other-SSA-455 Privacy Act Statement (revised)		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	100	0	100
Annual IC Time Burden (Hours)	87	22	65
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-455 (current)		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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