Two Customer Satisfaction Surveys - Disability Awarness Campaign Media Survey and Disability Program Feedback Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Fast Track)

Survey Instrument Disability Program Feedback Survey

Two Customer Satisfaction Surveys - Disability Awarness Campaign Media Survey and Disability Program Feedback Survey

OMB: 0960-0788

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Disability Program Feedback Survey
OMB Control No. 0960-0788
Paperwork Reduction Act Statement
Paperwork Reduction Act Statement – This information collection meets the requirements of 44 U.S.C. §3507,
as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions
unless we display a valid Office of Management and Budget control number. We estimate that it will take about
1 minute to complete this survey. You may send comments on our time estimate above: SSA, 6401 Security
Blvd., Baltimore, MD 21235-6401. Send only comments relating to our time estimate to this address.

1) The Social Security Disability Insurance program is a vitally important program that is
worth preserving and protecting.
a. Strongly Agree
b. Somewhat Agree
c. Somewhat Disagree
d. Strongly Disagree
2) The Social Security Disability Insurance program has a strict standard of disability and
pays benefits to people with severe disabilities.
a. Strongly Agree
b. Somewhat Agree
c. Somewhat Disagree
d. Strongly Disagree
3) There is a greater than one in four chance that a 20-year-old individual will become
disabled and need the benefits of the Social Security Disability Insurance program
before reaching retirement age.
a. Strongly Agree
b. Somewhat Agree
c. Somewhat Disagree
d. Strongly Disagree
4) The Social Security Administration works aggressively and is effective in preventing,
detecting, and prosecuting fraud.
a. Strongly Agree
b. Somewhat Agree
c. Somewhat Disagree
d. Strongly Disagree
5) Social Security Disability Insurance benefits are “earned” by workers who paid taxes on

their earnings; they are not a “handout.”
a. Strongly Agree
b. Somewhat Agree
c. Somewhat Disagree
d. Strongly Disagree

Disability Program Feedback Survey

6) Social Security benefit payments are modest, and barely keep an individual out of
poverty.
a. Strongly Agree
b. Somewhat Agree
c. Somewhat Disagree
d. Strongly Disagree

Disability Program Feedback Survey
Survey - The Disability Awareness Campaign!

Dear Colleague:
I am excited to inform you that Social Security is planning to launch the “Faces and Facts of Disability”
Awareness Campaign.
The objective of the campaign is two-fold:
•
•

To communicate the importance and benefits of the disability programs; and
To provide the facts and correct misinformation.

As we work to develop public information materials to share with you and your constituents, we need
your help! We have a couple of questions to gather your feedback about Social Security’s Disability
programs. Please share this survey (link) with your constituents.
We value your thoughts and look forward to hearing from you.
Thank you for your continued support of Social Security.
Sincerely,
Kojuan Almond
Associate Commissioner
For External Affairs
Stay connected with Social Security:


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