Disability Update Report (Mail-in process)

Disability Update Report

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	Disability Update Report (Mail-in process)	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.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-455		Yes	Yes	Fillable Fileable Signable
Other-SSA-455 Privacy Act Statement (revised)		www.ssa.gov	No		Paper Only
Form and Instruction	SSA-455-OCR-SM		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,049,176	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,049,176	-250,724	1,299,900
Annual IC Time Burden (Hours)	262,294	-62,681	324,975
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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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