View Information Collection Request (ICR) Package

OMB Control No: 0960-0644	ICR Reference No: 201204-0960-004
Status: Historical Active	Previous ICR Reference No: 200907-0960-009
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: Emergency	Approval Requested By: 05/17/2012
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/18/2012
	Date Received in OIRA: 04/18/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2012	6 Months From Approved	04/30/2013
Responses	333,793	0	206,926
Time Burden (Hours)	73,673	0	63,502
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.

Emergency Justfication: ENs are anticipating the administrative efficiencies this Portal represents and may have adjusted their own resources expecting it to be available by May 1, 2012. In addition, to implement the contract reduction, we have already let some contracting staff go with the expectation that we will pilot and fully implement before we make the final contract reductions. We are requesting emergency OMB approval of the Portal to meet EN expectations and to allow sufficient time to use and ensure that the new processes work as expected before making final 2012 contract reductions. If the Portal is not available for use until late summer, it will result in reduced FY 2012 productively since it will continue to take ENs longer to submit requests and it will take us longer to process them. The inability to process ticket assignments timely would delay services to the beneficiaries. The inability to process payment requests would delay payments to ENs and State VRs for the services they provided beneficiaries. In addition, if the Portal is not available for use until shortly before the remaining contract reductions are made, and there are problems with transitioning to it, there will not be manpower to process ticket assignments, payment requests, and other incoming documents, or to fulfill the requests for reports. This would bottleneck or possibly suspend some daily operations. To ensure the Portal is available for EN use by May 1, 2012, we are asking for OMB approval of this Emergency Clearance by April 16, 2012.

Authorizing Statute(s): US Code: 42 USC 405 Name of Law: Social Security Act
US Code: 42 USC 1320b19 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
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 22831	04/17/2012
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	333,793	206,926	97,034	29,833
Annual Time Burden (Hours)	73,673	63,502	2,780	7,391
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: Yes

Burden Reduction Due to: Using Information Technology

Short Statement: We decreased the burden estimates for the paper SSA-1365 as we no longer require the use of this form for all cases. We decreased the annual reporting burden for the Request to reenter Ticket-Use Status (section c) based on more accurate data over the past year. Previously, we used a high estimate based on an educated guess, with the current data, we feel more confident in our new numbers. We reduced the response time for Selecting a Payment System (section d) as current data shows a more accurate time estimate. In addition, we increased the response time for the SSA-1389 to account for the new Part 2 we added (see Addendum for more detail). We also decreased the response time for Periodic Outcomes Reporting (section g) as we now accept this reporting electronically and we request less information since we capture some information as a by-product of operational activity. Finally, we are adding the new Secure Provider Portal which will decrease the time burden for some of the collections listed above (see Addendum for more details). We estimate approximately half of all respondents will use the Portal rather than the paper forms. All other increases and decreases to our burden estimates are based on current actual response data. We base our estimates on the average two-year actual responses (from the previous two years) for each instrument divided by two.

Annual Cost to Federal Government: $7,000,000

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]? 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? Uncollected

Agency Contact: Faye Lipsky 410 965-8783 faye.lipsky@ssa.gov

View ICR - OIRA Conclusion