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:
0960-0809
ICR Reference No:
202202-0960-009
Status:
Historical Active
Previous ICR Reference No:
201901-0960-002
Agency/Subagency:
SSA
Agency Tracking No:
Title:
Promoting Opportunity Project (POD)
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:
05/19/2022
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/28/2022
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2025
36 Months From Approved
05/31/2022
Responses
14,000
0
85,135
Time Burden (Hours)
4,767
0
21,944
Cost Burden (Dollars)
0
0
0
Abstract:
Section 823 of the Bipartisan Budget Act of 2015 required SSA to carry out the Promoting Opportunity Demonstration (POD) to test a new benefit offset formula for Social Security Disability Insurance (SSDI) beneficiaries. Therefore, SSA is undertaking POD, a demonstration to evaluate the affect the new policy will have on SSDI beneficiaries and their families in several critical areas. We previously obtained OMB approval for this demonstration, and are in the midst of implementing the project. In this information collection request, we are seeking approval to add new questions to our follow-up surveys. Respondents are SSDI beneficiaries, who will provide written consent before agreeing to participate in the study and before we randomly assign them to one of the study treatment groups.
Authorizing Statute(s):
US Code:
42 USC 434
Name of Law: Social Security Act
PL:
Pub.L. 114 - 74 823
Name of Law: Bipartisan Budget Act of 2015
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:
86 FR 68034
11/30/2021
30-day Notice:
Federal Register Citation:
Citation Date:
87 FR 6929
02/07/2022
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
3
IC Title
Form No.
Form Name
POD Baseline Survey
N/A
Promoting Opportunity Demonstration (POD) Baseline Questionnaire
POD End of Year Reporting (EOYR) Documentation
POD Informed Consent Form
POD Informed Consent Form
Promoting Opportunity Demonstration (POD) Voluntary Participation Consent Form
POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Online
N/A
POD Monthly Earnings & IRWE Reporting Form
POD Monthly Earnings and Impairment-Related Work Expenses (IRWE) Reporting Form - Paper
N/A
POD Monthly Earnings & IRWE Reporting Form
POD Onsite Audit of Sample of Case Files in MIS
POD Semi-Structured Interviews with Treatment Group Subjects
POD Staff Interviews with Site Staff
POD Year 1 Follow-up Survey
POD Year 2 Follow-up Surveys
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
14,000
85,135
0
-51,320
-19,815
0
Annual Time Burden (Hours)
4,767
21,944
0
-17,175
-2
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
The burden hour time to complete the POD Monthly Form increased for paper only submissions as we included a travel time of 30 minutes for approximately half of the respondents who may need to travel to a fax machine to submit their forms. As we are near the end of the data collection for this demonstration project, we only expect to collect the information from these two forms for another six-month period. Therefore, we decreased the frequency of response for the Monthly form as well. We did not increase the burden for the POD EOYR Form; however, we note that fewer respondents will complete these forms in the last half year of this data collection. In addition, we included the Average Theoretical Hourly Cost Amount for both forms. Finally, we removed the following items from this request as we have completed collection of the data from these items: • POD Baseline Survey • POD Informed Consent Form • POD Onsite Audit of Case Files in MIS • POD Semi-Structured Interviews with Treatment Group Subjects • POD Staff Interviews with Site Staff • POD Year 1 Follow Up Survey • POD Year 2 Follow Up Survey The removal of these completed information collections decreases the total annual reporting burden for this information collection request.
Annual Cost to Federal Government:
$176,538
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:
Naomi Sipple 410 965-4145 naomi.lebowitz@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:
02/28/2022
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