View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0960-0072
ICR Reference No:
201912-0960-003
Status:
Historical Active
Previous ICR Reference No:
201609-0960-009
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:
06/28/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/26/2020
Terms of Clearance:
OMB advises the agency that based on the public comments received on docket SSA-2018-0026 that reference this information collection, the burden estimate associated with this information collection is likely substantially too low. Following approval of this ICR, the agency should work with OMB to develop and document a comprehensive qualitative and quantitative understanding of the burdens associated with this information collection. This documentation, which should be included as a component of ICR renewal in 12 months, must start with the process of selecting of the respondent, and record the typical experiences of a respondent through to the end-point of adjudication (to include, if relevant, other information collections commonly involved during the Continuing Disability Review process). To the extent that burden varies by virtue of the distinct user segments who respond to this collection, the agency should strive to document a series of typical experiences. To achieve this, the agency (in coordination with OMB) should consult with both internal and external stakeholders and leverage modern customer research and stakeholder engagement techniques, to include journey mapping and user interviews. Any digital instruments created for this information collection should undergo extensive user testing, at least some of which representatives from OMB should be invited to attend. The agency must also consult with OMB regarding the development of any digital instruments early-enough in product development so that OMB input on burden-minimization and other digital product best practices can be integrated into the final instrument. The documentation regarding that user testing should be included as an addendum to affirm that the digital product’s user experience is designed to be burden-minimizing.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2022
36 Months From Approved
06/30/2021
Responses
541,000
0
541,000
Time Burden (Hours)
541,000
0
541,000
Cost Burden (Dollars)
0
0
0
Abstract:
SSA uses Form SSA-454-BK, Continuing Disability Review Report to complete a mandatory review for the continue disability review (CDR). SSA considers adults eligible for payment if they continue to be unable to do substantial gainful activity because of their impairments, and we consider Title XVI children eligible for payment if they have marked and severe functional limitations because of their impairments. SSA also use the Form SSA-454-BK to obtain information on sources of medical treatment; participation in vocational rehabilitation programs (if any); attempts to work (if any); and if individuals believe their conditions are improved. When a disabled individual requires a CDR, a claims representative (CR) will mail Form SSA-454-BK, the respondent completes the form and sends it back to SSA, or the CR will interview the respondent and enters the information into the Electronic Disability Collection System (EDCS). EDCS electronically stores the information of the paper version of Form SSA-454-BK. The respondents are Title II or Title XVI disability recipients or their representatives.
Authorizing Statute(s):
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
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:
84 FR 70610
12/23/2019
30-day Notice:
Federal Register Citation:
Citation Date:
85 FR 17155
03/26/2020
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
2
IC Title
Form No.
Form Name
EDCS Screens/Interview - Full Version
SSA-454-BK, Continuing Disability Review Report - Full Paper Version
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
541,000
541,000
0
0
0
0
Annual Time Burden (Hours)
541,000
541,000
0
0
0
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:
Annual Cost to Federal Government:
$14,465,629
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
Yes
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Faye Lipsky 410 965-8783 faye.lipsky@ssa.gov
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:
03/26/2020
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