Continuing Disability Review Report

Forms and Documents

Document Name	Status
Form SSA-454-BK Continuing Disability Review Report Form	Modified
SSA-454-BK--Current Version.pdf Supplementary Document	2008-05-08
Addendum--0072.doc Supplementary Document	2008-04-24
Supporting Statement--0072.doc Supporting Statement A	2008-05-16

IC Document Collections

IC ID	Document Title	Status
9017	Continuing Disability Review Report Form	Modified

ICR Details

OMB Control No: 0960-0072	ICR Reference No: 200804-0960-001
Status: Historical Active	Previous ICR Reference No: 200503-0960-003
Agency/Subagency: SSA	Agency Tracking No:
Title: Continuing Disability Review Report
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/17/2008
	Date Received in OIRA: 05/19/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2011	36 Months From Approved	07/31/2008
Responses	398,000	0	792,020
Time Burden (Hours)	398,000	0	792,020
Cost Burden (Dollars)	0	0	0

---

Abstract: SSA uses the information collected on Form SSA–454–BK to determine whether an individual who receives Social Security disability benefits continues to be disabled. The SSA–454–BK updates the record of the disabled individual, providing information on recent medical treatment, vocational and education experience, work activity, and evaluations of potential for work for adults. It also collects information on ability of Title XVI children to function without marked and severe limitation. On the basis of the responses provided, SSA obtains medical and other evidence in order to make a determination whether disability, as defined by the Social Security Act, continues or has ended, and, if so, when the disability ended. A continuing disability review (CDR) is typically done when a disabled individual’s medical reexamination diary matures, or when medical improvement is reported. The number of CDRs done each fiscal year depends on the number of maturing diaries, reports of medical improvement and SSA budget constraints. The respondents are recipients of benefits based on disability under Title II and/or Title XVI of the Social Security Act.

---

Authorizing Statute(s): US Code: 42 USC 1382c Name of Law: null
   US Code: 42 USC 1383 Name of Law: null
   US Code: 42 USC 1383b Name of Law: null
   US Code: 42 USC 405 Name of Law: null
   US Code: 42 USC 421 Name of Law: null
   US Code: 42 USC 423 Name of Law: null
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 7782	02/11/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 21400	04/21/2008
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Continuing Disability Review Report	SSA-454-BK	Continuing Disability Review Report

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	398,000	792,020	0	0	-394,020	0
Annual Time Burden (Hours)	398,000	792,020	0	0	-394,020	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Due to fewer CDRs being processed (as shown by the data listed in #12 of the Supporting Statement), the burden has decreased since OMB’s previous approval of this information collection due to budgetary constraints.

---

Annual Cost to Federal Government: $4,290,044

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/19/2008

---