Categorization of GC Activities With Totals

			LISTING OF PROPOSED GENERIC CLEARANCE ACTIVITIES - JUNE 2009 THROUGH JUNE 2012
Note 1: For those categories marked "Hybrid," SSA will use
both listed methods in the heading for each customer satisfaction activity.
Note 2: In those places where we put a $1 cost figure, it was either not possible for the policy
component to provide an estimate at this time, since it was a new category, or the costs were
included in an overall budget and it was impossible to break down the costs for these individual activities.
As we clear each individual activity, we will provide updated cost figures when possible.
A. FOCUS GROUP TESTING
				June 2009-May 2010 (Year 1)					June 2010-May 2011 (Year 2)					June 2011-June 2012 (Year 3)
TITLE OF INFORMATION COLLECTION	SSA SUB-NUMBER		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST
Medicare Related Products	A-01		60	90	90	$36,000		60	90	90	$36,000		60	90	90	$36,000
e-Services Public Insight Process	A-02		120	90	180	$72,000		120	90	180	$72,000		120	90	180	$72,000
			TOTAL YEAR 1 RESPONSES - 180					TOTAL YEAR 2 RESPONSES - 180					TOTAL YEAR 3 RESPONSES - 180
				TOTAL YEAR 1 HOURS - 270					TOTAL YEAR 2 HOURS - 270					TOTAL YEAR 3 HOURS - 270
					TOTAL YEAR 1 COSTS - $108,000					TOTAL YEAR 2 COSTS - $108,000					TOTAL YEAR 3 COSTS - $108,000
B. FOCUS GROUPS/USABILITY TESTING (HYBRID CATEGORY)
				June 2009-May 2010 (Year 1)					June 2010-May 2011 (Year 2)					June 2011-June 2012 (Year 3)
TITLE OF INFORMATION COLLECTION	SSA SUB-NUMBER		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST
Authentication Enhancements	B-01		360	90	540	$36,000		360	90	540	$36,000		360	90	540	$36,000
Online Enhancements	B-02		360	90	540	$36,000		360	90	540	$36,000		360	90	540	$36,000
			TOTAL YEAR 1 RESPONSES		720			TOTAL YEAR 2 RESPONSES		720			TOTAL YEAR 3 RESPONSES		720
				TOTAL YEAR 1 HOURS	1,080				TOTAL YEAR 2 HOURS		1,080			TOTAL YEAR 3 HOURS		1,080
					TOTAL YEAR 1 COSTS		$72,000			TOTAL YEAR 2 COSTS		$72,000			TOTAL YEAR 3 COSTS		$72,000
C. MAIL QUESTIONNAIRES
				June 2009-May 2010 (Year 1)					June 2010-May 2011 (Year 2)					June 2011-June 2012 (Year 3)
TITLE OF INFORMATION COLLECTION	SSA SUB-NUMBER		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST
Vendor Survey	C-01		N/A					350	10	58	$356		N/A
			TOTAL YEAR 1 RESPONSES		0			TOTAL YEAR 2 RESPONSES		350			TOTAL YEAR 3 RESPONSES		0
				TOTAL YEAR 1 HOURS	0				TOTAL YEAR 2 HOURS		58			TOTAL YEAR 3 HOURS		0
					TOTAL YEAR 1 COSTS	$0				TOTAL YEAR 2 COSTS		$356			TOTAL YEAR 3 COSTS		$0.00
D. MAIL/INTERNET QUESTIONNAIRES (HYBRID CATEGORY)
				June 2009-May 2010 (Year 1)					June 2010-May 2011 (Year 2)					June 2011-June 2012 (Year 3)
TITLE OF INFORMATION COLLECTION	SSA SUB-NUMBER		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST
Report Card Survey	D-01		60,000	5	5,000	$250,000		60,000	5	5,000	$250,000		60,000	5	5,000	$250,000
Service Satisfaction Survey	D-02		16,000	5	1,333	$100,000		16,000	5	1,333	$100,000		16,000	5	1,333	$100,000
Special Study Survey	D-03		20,000	15	5,000	$150,000		20,000	15	5,000	$150,000		20,000	15	5,000	$150,000
			TOTAL YEAR 1 RESPONSES		96,000			TOTAL YEAR 2 RESPONSES		96,000			TOTAL YEAR 3 RESPONSES		96,000
				TOTAL YEAR 1 HOURS		11,333			TOTAL YEAR 2 HOURS		11,333			TOTAL YEAR 3 HOURS		11,333
					TOTAL YEAR 1 COSTS		$500,000			TOTAL YEAR 2 COSTS		$500,000			TOTAL YEAR 3 COSTS		$500,000
E. INTERNET QUESTIONNAIRES
				June 2009-May 2010 (Year 1)					June 2010-May 2011 (Year 2)					June 2011-June 2012 (Year 3)
TITLE OF INFORMATION COLLECTION	SSA SUB-NUMBER		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST
Social Security Internet Service	E-01		3,000	5	250	$1		3,000	5	250	$1		3,000	5	250	$1
Authentication	E-02		7,000	10	1,167	$1		7,000	10	1,167	$1		7,000	10	1,167	$1
			TOTAL YEAR 1 RESPONSES		10,000			TOTAL YEAR 2 RESPONSES		10,000			TOTAL YEAR 3 RESPONSES		10,000
				TOTAL YEAR 1 HOURS		1,417			TOTAL YEAR 2 HOURS		1,417			TOTAL YEAR 3 HOURS		1,417
					TOTAL YEAR 1 COSTS		$2			TOTAL YEAR 2 COSTS		$2			TOTAL YEAR 3 COSTS - $2
F. TELEPHONE QUESTIONNAIRES
				June 2009-May 2010 (Year 1)					June 2010-May 2011 (Year 2)					June 2011-June 2012 (Year 3)
TITLE OF INFORMATION COLLECTION	SSA SUB-NUMBER		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST
e-Services Public Insight Process	F-01		1,200	10	200	$0		1,200	10	200	$0		1,200	10	200	$0
Social Security Statement Evaluation	F-02		2,400	11	440	$120,000		2,400	11	440	$120,000		2,400	11	440	$120,000
Service Satisfaction Survey	F-03		8,000	15	2,000	$100,000		8,000	15	2,000	$100,000		8,000	15	2,000	$100,000
Special Study Survey	F-04		8,000	15	2,000	$120,000		8,000	15	2,000	$120,000		8,000	15	2,000	$120,000
			TOTAL YEAR 1 RESPONSES		19,600			TOTAL YEAR 2 RESPONSES		19,600			TOTAL YEAR 3 RESPONSES		19,600
				TOTAL YEAR 1 HOURS		4,640			TOTAL YEAR 2 HOURS		4,640			TOTAL YEAR 3 HOURS		4,640
					TOTAL YEAR 1 COSTS		$340,000			TOTAL YEAR 2 COSTS		$340,000			TOTAL YEAR 3 COSTS		$340,000
G. TELEPHONE/INTERNET QUESTIONNAIRES (HYBRID CATEGORY)
				June 2009-May 2010 (Year 1)					June 2010-May 2011 (Year 2)					June 2011-June 2012 (Year 3)
TITLE OF INFORMATION COLLECTION	SSA SUB-NUMBER		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST
Awareness & User Preferences	G-01		1,600	10	267	$1		1,600	10	267	$1		1,600	10	267	$1
			TOTAL YEAR 1 RESPONSES		1,600			TOTAL YEAR 2 RESPONSES		1,600			TOTAL YEAR 3 RESPONSES		1,600
				TOTAL YEAR 1 HOURS		267			TOTAL YEAR 2 HOURS		267			TOTAL YEAR 3 HOURS		267
					TOTAL YEAR 1 COSTS		$1			TOTAL YEAR 2 COSTS		$1			TOTAL YEAR 3 COSTS		$1
H. COMMENT CARDS
				June 2009-May 2010 (Year 1)					June 2010-May 2011 (Year 2)					June 2011-June 2012 (Year 3)
TITLE OF INFORMATION COLLECTION	SSA SUB-NUMBER		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST
Field Office Customer Comment Card	H-01		875,000	5	72,917	$15,000		875,000	5	72,917	$15,000		875,000	5	72,917	$15,000
Teleservice Center Customer Comment Card	H-02		396,900	5	33,075	$6,050		396,900	5	33,075	$6,050		396,900	5	33,075	$6,050
			TOTAL YEAR 1 RESPONSES		1,271,900			TOTAL YEAR 2 RESPONSES		1,271,900			TOTAL YEAR 3 RESPONSES		1,271,900
				TOTAL YEAR 1 HOURS		105,992			TOTAL YEAR 2 HOURS		105,992			TOTAL YEAR 3 HOURS		105,992
					TOTAL YEAR 1 COSTS		$21,050			TOTAL YEAR 2 COSTS		$21,050			TOTAL YEAR 3 COSTS		$21,050
I. OTHER/MISC
				June 2009-May 2010 (Year 1)					June 2010-May 2011 (Year 2)					June 2011-June 2012 (Year 3)
TITLE OF INFORMATION COLLECTION	SSA SUB-NUMBER		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST		NUMBER OF RESPONSES	COMPLETION TIME (MINUTES)	BURDEN HOURS	FEDERAL COST
This includes any possible future clearance that is not covered by the above four categories.	I-01		1	60	1	$1		1	60	1	$1		1	60	1	$1
			TOTAL YEAR 1 RESPONSES		1			TOTAL YEAR 2 RESPONSES		1			TOTAL YEAR 3 RESPONSES		1
				TOTAL YEAR 1 HOURS		1			TOTAL YEAR 2 HOURS		1			TOTAL YEAR 3 HOURS		1
					TOTAL YEAR 1 COSTS		$1			TOTAL YEAR 2 COSTS		$1			TOTAL YEAR 3 COSTS		$1
						GENERIC CLEARANCE YEAR 1 THROUGH YEAR 3 TOTALS
		YEAR 1 TOTALS					YEAR 2 TOTALS					YEAR 3 TOTALS
	TOTAL YEAR 1 RESPONSES ---			1,400,001		TOTAL YEAR 2 RESPONSES ---			1,400,351		TOTAL YEAR 3 RESPONSES ---			1,400,001
	TOTAL YEAR 1 BURDEN HOURS ---			125,000		TOTAL YEAR 2 BURDEN HOURS ---			125,058		TOTAL YEAR 3 BURDEN HOURS ---			125,000
	TOTAL YEAR 1 FEDERAL COST ---			$1,041,054		TOTAL YEAR 2 FEDERAL COST ---			$1,041,410		TOTAL YEAR 3 FEDERAL COST ---			$1,041,054
						June 2009 THROUGH JUNE 2012 CUMULATIVE TOTALS
						RESPONSES ----		4,200,353
						BURDEN HOURS ----		375,058
						FEDERAL COST ----		$3,123,518