Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Employer Wage Reporting Journey Pilot, Description of Survey of Virtual EDPNA Exam experience New 260 90 0 Other-Survey
Other-Survey
National Disability Forum (NDF) New 1500 3000 0 Other-Sample 2- FY24 NDF Registration Questions
Other-Sample 3- NDF Facilitator and Panelist
Other-Sample 4- FY24 NDF Evaluation Questions
Other-Sample 5- Engage SSA for NDF
Supplemental Security Income (SSI) "Basic Needs" Mailers Survey New 3000 150 0 Other-SSI Basic Needs Mailers Survey
Appointed Representative Availability Portal for SSA Hearings New 132 44 0 Other-Appointed Representative Availability Portal for SSA Hearings User Guide
Beyond Benefits Study New 40 50 0 Other-Informed Consent for Preliminary Interviews
Other-Invitation Letter to Exiters and Possible Exiters
Other-Phone Script for Existers and Possible Exiters
Other-Email to Schedule Interview with Exiters and Possbile Exiters
Other-Preliminary Interview with Exiters Protocol
Other-Preliminar Interview with Possible Exiters Protocol
Other-Informed Consent for Focus Group with Motivational Interviewers
Other-Introductory Email to Motivational Interviewers
Other-Email to Motivational Interviewers
Other-Email to Schedule Focus Group
Other-Focus Group Protocol for Motivational Interviewers
Disability Perceptions Survey Pretest New 250 83 0 Other-DPS Survey
Other-DPS Invitation and Reminder Scripts
Other-DPS Covid Survey
Disability Perceptions Survey Pretest New 250 83 0 Other-Disability Perceptions Survey
Other-DPS Invitation and Reminder Scripts
Engage SSA (IdeaScale) New 300 25 0 Other-Engage SSA (IdeaScale)
FY 2021 Survey of Virtual EDPNA Exam Experience New 166 28 0 Other-FY 2021 Survey of Virtual EDPNA Exam Experience
National Association of Enrolled Agents (NAEA) Webinar & W2 Online Pilot Contact Information New 100 8 0 Other-NAEA & W2 Online Pilot Contact Information Form
National Disability Forum (NDF) New 900 2700 0 Other-Registration Template Sample
Other-NDF Facilitator and Panelist
Other-Disability Forum Evaluation Form
Other-Engage for SSA NDF sample
National Disability Forum (NDF) FY 2022 New 900 2700 0 Other-Registration Template
Other-NDF Facilitator and Panelist
Other-Disability Forum Evaluation Form
Other-Engage SSA for NDF
National Disability Forum (NDF) FY 2023 New 900 2700 0 Other-Registration Template
Other-NDF Facilitator and Panelist
Other-Disability Forum Evaluation Form
Other-Engage SSA for NDF
Other-Informed Consent Form ( Per Kyle and Faye convesation, ok to add to this to GC)
New Applicant Survey (NAS) New 1220 124 0 Other-Informed Consent for Preliminary Interviews
Other-Invitation Letter to Applicants
Other-Phone Script for Applicants
Other-Leter to Confirm Applicant Interviw Appointment
Other-Applicant Interview Guide
Other-Informed Consent for Focus Group with Applicant Representatives
Other-Invitation Letter to Applicant Representatives
Other-Phone Script for Applicant Representatives
Other-Leter to Confirm Focus Group with Applicant Representatives
Other-Applicant Representative Focus Group Guide
Office Visitor Survey (OVS) New 6200 517 0 Other-Office Visitor Survey
Other-Office Visitor Survey - Pre-Notice Postcard
Piloting the new version of the Business Services Online (BSO) W-2 Online application New 65 22 0 Other- Business Services Online (BSO) W-2 Online application survey questions
Other- Business Services Online (BSO) W-2 Online application Informed Consent Form
SSA Partnership Survey New 1500 1750 0 Other-Survey
Social Security Customer Notices Focus New 16 20 0 Other-Participant Communications and Instructions for Joining Focus Group
Other-SSA Customer Notice Focus Group Recruitment Screening Suvey
Other-Invitation Letter
Other-COR Notice
Other-DEN10 Notice
Other-Notice of Order of Appeals Counsil
Other-SSI Stewardship Individual SI Call-In Letter- Spouse Notice
Other-SSI Stewardship Individual We Call Letter Notice
Other-SSI Stewardship rep Payee We Call Letter Notice
Social Security Stakeholder Focus Groups New 500 258 0 Other-Employee Guide
Other-Social Security Stateholder Focus Group Flyer
Other-Field Office Customer Guide
Other-Hearling Officer Customer Guide
Other-SSA Customer Informed Consent
Other-SSA Employee Informed Consent
Other-SSA Focus Group Customer Screener
Other-SSA Focus Group Employee Contact
Social Security Statement Cognitive & Usability Testing New 45 45 0 Other- Discussion Guide for Workers Ages 18 to 48
Other-Discussion Guide for Workers Ages 49 to 60
Other- Discussion Guide for Workers Ages 61 to 69
Other- Discussion Guide for Workers Ages 70 and Up
Other- Discussion Guide for Additional Work Can Increase Your Retirement Benefits Fact Sheet
Other- Discussion Guide for Earnings Not Covered by SS
Other- Discussion Guide for How You Become Eligible For Benefits
Other-Discussion Guide for Medicare Ready
Other- Discussion Guide for Social Security Basics for New Workers
Other- Discussion guide - Statement
Other- Recruiting Screener for inividual interviews
Other- SS Cognitive and Usability Testing Respondent Matrix
Survey of Virtual EDPNA Exam experience New 140 23 0 Other-FY 23 Survey of Virtual EDPNA Exam Experience
Survey of Virtual EDPNA Exam experience FY 22 and Beyond Benefits Study New 165 234 0 Other-FY 2022 Survey of Virtual EDPNA Exam Experience
Other-Beyond Benefits Study Preliminary Interview with Possible Exiters Protocol
Other-Beyond Benefits Study- Preliminary Interview with Possible Exiters Protocol
Other-Beyond Benefits Study Invitation Letter to Exiters and Possible Exiters
Other-Beyond Benefits Study Phone Script for Existers and Possible Exiters
Other-Beyond Benefits Study Email to Schedule Interview with Exiters and Possbile Exiters
Other-Beyond Benefits Study Informed Consent Form
Other-Beyond Benefits Study Focus Group Protocol for Motivational Interviewers
Other-Beyond Benefits Study Introductory Email to Motivational Interviewers
Other-Beyond Benefits Study Email to Motivational Interviewers
Other-Beyond Benefits Study Email to Schedule Focus Group
Other-Beyond Benefits Study Informed Consent for Focus Group with Motivational Interviewers
Third Party SSI Claims Taking Partner Survey New 2000 167 0 Other-Instructions, Survey, and Letter
Upload Documents (eSubmit) Survey New 250 21 0 Other-Upload Documents (eSubmit) Suvey Solicitation Email Langauge
Other-Upload Documents (eSubmit) Survey
User Research & Usability Testing of SSA Electronic Projects New 1800 3600 0 Other-Demographic Questionnaire
Other-FY22 UXG Supported Projects
Other-Informed Consent Form
User Research & Usability Testing of SSA Electronic Projects New 1800 3600 0 Other-Usability Testing of SSA Electronic Projects 2021 Post Test Survey
Other-Usability Testing of SSA Electronic Projects 2021 Consent (non-recording)
Other-Usability Testing of SSA Electronic Projects 2021 Consent (recording)
Other-Usability Testing of SSA Electronic Projects 2021 Projects Product List
User Research & Usability Testing of SSA Electronic Projects New 1800 3600 0 Other-Informed Consent Form
Other-UXG Supported Projects
Other-
User Research & Usability Testing of SSA Website New 100 200 0 Other-Demographics Questionnaire SSA Website
Other-Informed Consent Form for Customer Research
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 26299 25842 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title