Disability Update Report (Telephone Interview Process)

Disability Update Report

OMB: 0960-0511

IC ID: 243650

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 (Fillable and Submittable for COVID-19 Situation).pdf Yes Yes Fillable Fileable Signable
Form and Instruction SSA-455-OCR-SM Disability Update Report (scannable version) SSA-455-OCR-SM (Revised Version).pdf No   Paper Only

Income Security General Retirement and Disability

 

100 0
   
Individuals or Households
 
   0 %

  Approved 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) 65 0 0 0 0 65
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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