OMB control number

Continuing Disability Review Report

OMB 0960-0072 · SSA.

OMB 0960-0072

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.

The latest form for Continuing Disability Review Report expires 2029-04-30 and can be found here.

All Historical Document Collections
Revision of a currently approved collection 2026-01-30
Approved without change
No material or nonsubstantive change to a currently approved collection 2023-05-01
Approved without change
No material or nonsubstantive change to a currently approved collection 2023-01-30
Approved with change
Revision of a currently approved collection 2022-08-19
Revision of a currently approved collection 2020-03-26
Comment filed on proposed rule and continue
Revision of a currently approved collection 2019-11-18
Approved without change
Revision of a currently approved collection 2017-01-18
Approved without change
Revision of a currently approved collection 2013-12-03
Approved without change
Revision of a currently approved collection 2011-01-26
Approved without change
Revision of a currently approved collection 2009-10-07
Approved without change
Revision of a currently approved collection 2008-05-19
Approved without change
Revision of a currently approved collection 2005-03-10
Approved without change
Revision of a currently approved collection 2002-01-18
Approved without change
No material or nonsubstantive change to a currently approved collection 2000-09-14
Approved without change
Revision of a currently approved collection 1998-12-01
Approved without change
Extension without change of a currently approved collection 1995-11-05
Approved without change
Revision of a currently approved collection 1992-09-14
Approved without change
Revision of a currently approved collection 1989-08-03
Approved with change
No material or nonsubstantive change to a currently approved collection 1987-09-30
Approved without change
Revision of a currently approved collection 1986-08-14
Approved with change
No material or nonsubstantive change to a currently approved collection 1985-11-01
Approved with change
No material or nonsubstantive change to a currently approved collection 1985-08-15
Approved without change
Revision of a currently approved collection 1985-04-22
Approved without change
Revision of a currently approved collection 1984-11-15
Approved with change
No material or nonsubstantive change to a currently approved collection 1984-08-02
Approved with change
No material or nonsubstantive change to a currently approved collection 1983-08-03
Approved without change
Revision of a currently approved collection 1982-11-23
Approved without change
Revision of a currently approved collection 1978-02-21
Approved without change
Revision of a currently approved collection 1976-02-17
OMB Details

SSA-454-BK, Continuing Disability Review Report - Full Paper Version

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form SSA-454-BKContinuing Disability Review Reportwww.socialsecurity.govForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.