Disability Update Report

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form SSA-455 Disability Update Report Form
New Privacy Act Statement -- SSA-455.doc Other-Updated Privacy Act
SSA-455 Disability Update Report Form SSA-455 (0960-0511).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Disability Update Report	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-455	Disability Update Report	Form SSA-455 (0960-0511).pdf		No		Paper Only
Other-Updated Privacy Act			New Privacy Act Statement -- SSA-455.doc		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 880,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	880,000	-101,000	981,000
Annual IC Time Burden (Hours)	220,000	-25,250	245,250
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.