Sections 221(i), 1614(a)(3)(H)(ii)(I)
and 1633(c)(1) of the Social Security Act (Act) require SSA to
periodically review the cases of individuals who receive benefits
under Title II or Title XVI based on disability to determine if
their disability continues. SSA considers adults eligible for
disability payments if they continue to be unable to do substantial
gainful activity because of their impairments, and we consider
Title XVI children eligible for disability payment if they have
marked and severe functional limitations because of their
impairments. To assess claimants’ ongoing disability payment
eligibility, SSA uses the information gathered through the
Continuing Disability Review Report to complete a mandatory review
for the continue disability review (CDR). SSA also uses the
Continuing Disability Review Report to obtain information on
sources of medical treatment; participation in vocational
rehabilitation programs (if any); attempts to work (if any); and
recipients’ assessments when they believe their conditions
improved. Title II or Title XVI disability recipients can complete
the Continuing Disability Review Report using one of three
modalities: (1) a paper application or fillable PDF (using Form SSA
454 BK); (2) a field office interview, during which SSA employees
enter claimant’s data directly into the Electronic Disability
Collection System (EDCS); or (3) using an online system (i454).
This new web-based modality will provide recipients a new platform
for submitting information to increase accessibility and enhance
automation. When SSA initiates a medical CDR, we send a mailed
notice to the individual with a disability informing that
individual that SSA requires a CDR. The mailed notice provides
instructions to the recipient on how to assist the agency with
initiating the CDR and gives the individual the option to complete
a paper SSA-454 or an i454 for adult only disabled individuals.
When an individual requires a CDR, a claims specialist (CS) mails
the paper Form SSA-454-BK, and the respondent completes the form,
and sends or brings it back to SSA; or the CS interviews the
respondent and enters the information into the appropriate EDCS
screens; or adult disabled individuals complete the SSA 454 BK
electronically using the i454 Internet application. Regardless of
the modality the respondent uses to complete the information
(paper, EDCS, or Internet versions), SSA electronically stores the
information provided in EDCS. The respondents complete the
SSA-454-BK by themselves with self-help information available, or a
representative may complete the paper form or electronic
application on their behalf. The respondents are Title II or Title
XVI disability recipients or their representatives.
US Code:
42
USC 421 Name of Law: Social Security Act
US Code: 42
USC 405 Name of Law: Social Security Act
US Code: 42
USC 423 Name of Law: Social Security Act
US Code: 42
USC 1382c Name of Law: Social Security Act
US Code: 42
USC 1383 Name of Law: Social Security Act
US Code: 42
USC 1383b Name of Law: Social Security Act
When we last cleared this IC in
2019, the burden was 60 minutes. However, we are currently
reporting a burden of 480 minutes. This change stems from an
increase in the completion time from 60 minutes to 480 minutes. We
updated the burden estimate for the completion time due to public
comments we received regarding the burden for form completion, and
the comments we heard during Usability Testing. In addition, we
addressed public concerns to reduce this burden by focusing on ways
to assist the public when completing this form. As explained in our
Addendum, we removed free format narrative responses, added
checkbox tables, simplified the language in the questions,
clarified the instructions page and removed redundancy language
from the original version of the form, causing an overall decrease
in completion time and the resulting change in burden. Please see
the Addendum for more information regarding the revisions to the
form. However, we are also adding a new modality to this
collection, the Internet-based application, i454. While we do not
anticipate any change in the overall burden for the implementation
of this new Internet modality, we will monitor the management
information data for it after we implement it. We will revise our
burden data via Change Request if we see any change once the new
modality is in use. Please see the Addendum for more information
regarding this new modality.
$15,375,557
No
Yes
Yes
No
No
No
No
Faye Lipsky 410 965-8783
faye.lipsky@ssa.gov
No
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
Form SSA-454-BK SSA-454-BK, Continuing Disability Review Report - Full Paper Version
Supporting Statement - 0072 (Final).docx
SSA-454-BK, Continuing Disability Review Report - Full Paper Version