View Information Collection Request (ICR) Package

OMB Control No: 0960-0644	ICR Reference No: 200804-0960-005
Status: Historical Active	Previous ICR Reference No: 200505-0960-008
Agency/Subagency: SSA	Agency Tracking No:
Title: The Ticket to Work and Self-Sufficiency Program, 20 CFR 411
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/17/2008
	Date Received in OIRA: 09/19/2008
Terms of Clearance: OMB is extending its approval of this collection for only one year. For the next submission of the 0960-0644 ICR package to OMB, SSA will review all of the Ticket to Work and Self-Sufficiency Programs information collection instruments that respondents use (forms and instructions) and include them in the ICR package with the corresponding burden calculations.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2009	36 Months From Approved	12/31/2008
Responses	121,981	0	248,664
Time Burden (Hours)	46,553	0	993,384
Cost Burden (Dollars)	0	0	0

Abstract: Through its Ticket to Work Program Manager, SSA uses the information collected to operate and manage the Ticket to Work Program. SSA uses the Ticket to Work Program to assign Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) beneficiaries to a service provider, and follows their progress through the various stages of ticket program participation such as progress reviews or changes in ticket status. Most of the collections in this request require service providers to provide information to SSA for such tasks as selecting a payment system or requesting payments for helping the beneficiary achieve certain work goals. Most of the categories of information collected in this request are required for SSA to be in compliance with the Ticket to Work legislation and provide proper oversight of the program. The respondents are SSDI beneficiaries and blind or disabled SSI beneficiaries and their employment networks or State vocational rehabilitation agencies under the Ticket to Work Program.

Authorizing Statute(s): US Code: 42 USC 405
US Code: 42 USC 1320b19

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 24340	05/02/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 49730	08/22/2008
Did the Agency receive public comments on this ICR? No

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	121,981	248,664	35,505	-162,188
Annual Time Burden (Hours)	46,553	993,384	5,884	-952,715
Annual Cost Burden (Dollars)	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: The annual reporting burden for these information collections have changed. We are making a couple program changes from the Amendments to the Ticket to Work and Self-Sufficiency Program (967F) (see Addendum). In general, SSA has adjusted the burden hours based primarily on the use of better management information about the number of respondents and the average burden per response. In addition, the use of electronic data sharing has significantly lowered the burden associated with the two largest information collections in this request. Finally, we are combining this collection with OMB Control No. 0960-0641 (for SSA-1365), which is a program change that increases the burden.

Annual Cost to Federal Government: $0

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

Agency Contact: Elizabeth Davidson 411-965-0454 liz.davidson@ssa.gov

View ICR - OIRA Conclusion