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⚠️ Notice: This information collection may be referencing outdated material.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 and Instruction
SSA-455 Disability Update Report revised SSA-455 (0960-0511) -- marked up copy.pdf Form and Instruction
current SSA-455 (0960-0511).pdf Current Version of SSA-455 IC Document

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 and Instruction	SSA-455	Disability Update Report	revised SSA-455 (0960-0511) -- marked up copy.pdf		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	Previously Approved
Annual Number of Responses for this IC	880,000	880,000
Annual IC Time Burden (Hours)	220,000	220,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Current Version of SSA-455	current SSA-455 (0960-0511).pdf	05/14/2009

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.