Categorization of GC Activities /w Totals
All Categories – All 3 Years’ Totals
| Total 3 Year Responses | Total 3 Year Hours | Total 3 Year Costs | 
| 28,709,620 | 4,042,212 | $6,202,003 | 
Category A - Mail Questionnaires Year 1 (Dec. 2015 – Nov. 2016)
| Category/Title 
 | Number of Responses | Completion Time | Burden Hours | Cost | 
| A-01 Report Card Surveys | 30,000 | 
			 5 | 
			 2,500 | 
			 $134,000 | 
| A-02 Service Satisfaction Survey | 
			 
 12,000 | 
			 
 5 | 
			 
 1,000 | 
			 
 $125,000 | 
| A-03 Special Study Survey | 
			 25,000 | 
			 15 | 
			 6,250 | 
			 $200,000 | 
| A-04 Medicare Enrollment and Other Information Survey | 
			 
 
 900,000 | 
			 
 
 8 | 
			 
 
 120,000 | 
			 
 
 $200,000 | 
Category A - Totals - Mail Questionnaires
| Total Year 1 Responses | Total Year 1 Hours | Total Year 1 Costs | 
| 967,000 | 129,750 | $659,000 | 
Category B – Mail-Internet Questionnaires Year 1 (Dec. 2015 – Nov. 2016)
| Category/Title 
 | Number of Responses | Completion Time | Burden Hours | Cost | 
| B-01 Customer Satisfaction Surveys (Ticket to Work) | 
			 
 5,000 | 
			 
 12 | 
			 
 1,000 | 
			 
 $120,000 | 
| B-01 Anti-Fraud Service Survey | 20,000 | 5 | 1,667 | $200,000 | 
Category B - Totals - Mail-Internet Questionnaires
| Total Year 1 Responses | Total Year 1 Hours | Total Year 1 Costs | 
| 25,000 | 2,667 | $320,000 | 
Category C – Telephone Questionnaires Year 1 (Dec. 2015 – Nov. 2016)
| Category/Title 
 | Number of Responses | Completion Time | Burden Hours | Cost | 
| C-01 Service Satisfaction Surveys (800#, FO Caller) | 
			 
 8,000 | 
			 
 15 | 
			 
 2,000 | 
			 
 $100,000 | 
| C-02 Special Study Survey | 
			 12,000 | 
			 15 | 
			 3,000 | 
			 $120,000 | 
| C-03 SSA Post Call Surveys | 
			 
 5,270,000 | 
			 
 5 | 
			 
 439,167 | 
			 
 $320,000 | 
| C-04 Field Office Network Enterprise Survey | 2,070,000 | 5 | 172,500 | $160,000 | 
Category C – Totals - Telephone Questionnaires
| Total Year 1 Responses | Total Year 1 Hours | Total Year 1 Costs | 
| 7,360,000 | 616,667 | $700,000 | 
Category D – Mail, Online, Telephone Option Questionnaires Year 1 (Dec. 2015 – Nov. 2016)
| Category/Title 
 | Number of Responses | Completion Time | Burden Hours | Cost | 
| D-01 Ticket to Work Employment Network Beneficiary Satisfaction Survey | 
			 
 
 
 
 
 30,000 | 
			 
 
 
 
 
 12 | 
			 
 
 
 
 
 6,000 | 
			 
 
 
 
 
 $335,000 | 
Category D – Totals – Mail/Online/Telephone Questionnaires
| Total Year 1 Responses | Total Year 1 Hours | Total Year 1 Costs | 
| 30,000 | 6,000 | $335,000 | 
Category E – Other/Misc
| Category/Title 
 | Number of Responses | Completion Time | Burden Hours | Cost | 
| E-01 Includes any possible future clearance SSA has not covered in the above categories | 
			 1,182,240 | 
			 30 | 
			 591,220 | 
			 $1 | 
Category E – Totals - Other/Misc
| Total Year 1 Responses | Total Year 1 Hours | Total Year 1 Costs | 
| 1,182,240 | 591,220 | $1 | 
All Categories - Year 1 Totals (Dec. 2015 - Nov. 2016)
| Total Year 1 Responses | Total Year 1 Hours | Total Year 1 Costs | 
| 9,564,240 | 1,346,304 | $2,014,001 | 
Categorization of GC Activities /w Totals
Category A - Mail Questionnaires Year 2 (Dec. 2016 – Nov. 2017)
| Category/Title 
 | Number of Responses | Completion Time | Burden Hours | Cost | 
| A-01 Report Card Surveys | 
			 30,000 | 
			 5 | 
			 2,500 | 
			 $134,000 | 
| A-02 Service Satisfaction Survey | 
			 
 12,000 | 
			 
 5 | 
			 
 1,000 | 
			 
 $125,000 | 
| A-03 Special Study Survey | 
			 25,000 | 
			 15 | 
			 6,250 | 
			 $200,000 | 
| A-04 Medicare Customer Survey | 
			 
 900,000 | 
			 
 8 | 
			 
 120,000 | 
			 
 $200,000 | 
Category A - Totals - Mail Questionnaires
| Total Year 2 Responses | Total Year 2 Hours | Total Year 2 Costs | 
| 967,000 | 129,750 | $659,000 | 
Category B – Mail-Internet Questionnaires Year 2 (Dec. 2016 – Nov. 2017)
| Category/Title 
 | Number of Responses | Completion Time | Burden Hours | Cost | 
| B-01 Customer Satisfaction Surveys (Ticket to Work) | 
			 
 5,500 | 
			 
 12 | 
			 
 1,100 | 
			 
 $110,000 | 
| B-02 Anti-Fraud Service Survey | 
			 20,000 | 
			 5 | 
			 1,667 | 
			 $200,000 | 
Category B - Totals - Mail-Internet Questionnaires
| Total Year 2 Responses | Total Year 2 Hours | Total Year 2 Costs | 
| 25,500 | 2,767 | $310,000 | 
Category C – Telephone Questionnaires Year 2 (Dec. 2016 – Nov. 2017)
| Category/Title 
 | Number of Responses | Completion Time | Burden Hours | Cost | 
| C-01 Service Satisfaction Surveys (800#, FO Caller) | 
			 
 8,000 | 
			 
 15 | 
			 
 2,000 | 
			 
 $100,000 | 
| C-02 Special Study Survey | 
			 12,000 | 
			 15 | 
			 3,000 | 
			 $120,000 | 
| C-03 SSA Post Call Survey | 
			 
 5,270,000 | 
			 
 5 | 
			 
 439,167 | 
			 
 $320,000 | 
| C-04 Field Office Network Enterprise Survey | 
			 
 2,070,000 | 
			 
 5 | 
			 
 172,500 | 
			 
 $160,000 | 
Category C – Totals - Telephone Questionnaires
| Total Year 2 Responses | Total Year 2 Hours | Total Year 2 Costs | 
| 7,360,000 | 616,667 | $700,000 | 
Category D – Mail, Online, Telephone Option Questionnaires Year 2 (Dec. 2016 – Nov. 2017)
| Category/Title 
 | Number of Responses | Completion Time | Burden Hours | Cost | 
| D-01 Ticket to Work Employment Network Beneficiary Satisfaction Survey | 
			 
 35,000 | 
			 
 12 | 
			 
 7,000 | 
			 
 $410,000 | 
Category D – Totals – Mail, Online, Telephone Option Questionnaires
| Total Year 2 Responses | Total Year 2 Hours | Total Year 2 Costs | 
| 35,000 | 7,000 | $410,000 | 
Category E – Other/Misc Year 2 (Dec. 2016 – Nov. 2017)
| Category/Title 
 | Number of Responses | Completion Time | Burden Hours | Cost | 
| E-01 Includes any possible future clearance SSA has not covered in the above categories | 
			 1,182,440 | 
			 30 | 
			 591,220 | 
			 $1 | 
Category E – Totals - Other/Misc
| Total Year 2 Responses | Total Year 2 Hours | Total Year 2 Costs | 
| 1,182,440 | 591,220 | $1 | 
All Categories - Year 2 Totals
| Total Year 2 Responses | Total Year 2 Hours | Total Year 2 Costs | 
| 9,569,940 | 1,347,404 | $2,079,001 | 
Categorization of GC Activities /w Totals
Category A - Mail Questionnaires Year 3 (Dec. 2017 – Dec. 2018)
| Category/Title 
 | Number of Responses | Completion Time | Burden Hours | Cost | 
| A-01 Report Card Surveys 
 | 
			 30,000 | 
			 5 | 
			 2,500 | 
			 $134,000 | 
| A-02 Service Satisfaction Survey | 
			 
 12,000 | 
			 
 5 | 
			 
 1,000 | 
			 
 $125,000 | 
| A-03 Special Study Survey | 
			 25,000 | 
			 15 | 
			 6,250 | 
			 $200,000 | 
| A-04 Medicare Customer Survey | 
			 900,000 | 
			 8 | 
			 120,000 | 
			 $200,000 | 
Category A - Totals - Mail Questionnaires
| Total Year 3 Responses | Total Year 3 Hours | Total Year 3 Costs | 
| 967,000 | 129,750 | $659,000 | 
Category B – Mail-Internet Questionnaires Year 3 (Dec. 2017 – Dec. 2018)
| Category/Title 
 | Number of Responses | Completion Time | Burden Hours | Cost | 
| B-01 Customer Satisfaction Surveys (Ticket to Work) | 
			 
 6,000 | 
			 
 12 | 
			 
 1,200 | 
			 
 $120,000 | 
| B-02 Anti-Fraud Service Survey | 
			 20,000 | 
			 5 | 
			 1,667 | 
			 $200,000 | 
Category B - Totals - Mail-Internet Questionnaires
| Total Year 3 Responses | Total Year 3 Hours | Total Year 3 Costs | 
| 26,000 | 2,867 | $320,000 | 
Category C – Telephone Questionnaires Year 3 (Dec. 2017 – Dec. 2018)
| Category/Title 
 | Number of Responses | Completion Time | Burden Hours | Cost | 
| C-01 Service Satisfaction Surveys (800#, FO Caller) | 
			 
 8,000 | 
			 
 15 | 
			 
 2,000 | 
			 
 $100,000 | 
| C-02 Special Study Survey | 
			 12,000 | 
			 15 | 
			 3,000 | 
			 $120,000 | 
| C-03 SSA Post Call Survey | 
			 
 5,270,000 | 
			 
 5 | 
			 
 439,167 | 
			 
 $320,000 | 
| C-04 Field Office Network Enterprise Survey | 
			 
 2,070,000 | 
			 
 5 | 
			 
 172,500 | 
			 
 $160,000 | 
Category C – Totals - Telephone Questionnaires
| Total Year 3 Responses | Total Year 3 Hours | Total Year 3 Costs | 
| 7,360,000 | 616,667 | $700,000 | 
Category D – Mail, Online, Telephone Option Questionnaires Year 3 (Dec. 2017 – Dec. 2018)
| Category/Title 
 | Number of Responses | Completion Time | Burden Hours | Cost | 
| D-01 Ticket to Work Employment Network Beneficiary Satisfaction Survey | 
			 
 
 
 40,000 | 
			 
 
 
 12 | 
			 
 
 
 8,000 | 
			 
 
 
 $430,000 | 
Category D – Totals – Comment Cards
| Total Year 3 Responses | Total Year 3 Hours | Total Year 3 Costs | 
| 40,000 | 8,000 | $430,000 | 
Category E – Other/Misc Year 3 (Dec. 2017 – Dec. 2018))
| Category/Title 
 | Number of Responses | Completion Time | Burden Hours | Cost | 
| E-01 Includes any possible future clearance SSA has not covered in the above categories | 
			 1,182,440 | 
			 30 | 
			 591,220 | 
			 $1 | 
Category E – Totals - Other/Misc
| Total Year 3 Responses | Total Year 3 Hours | Total Year 3 Costs | 
| 1,182,440 | 591,220 | $1 | 
All Categories - Year 3 Totals
| Total Year 3 Responses | Total Year 3 Hours | Total Year 3 Costs | 
| 9,575,440 | 1,348,504 | $2,109,001 | 
Three-Year Grand Burden Total for All Requested Generic Clearance Activities:
| GC Plan Year | Total Year 3 Responses | Total Year 3 Hours | Total Year 3 Costs | 
| Year 1 | 9,564,240 | 1,346,304 | $2,014,001 | 
| Year 2 | 9,569,940 | 1,347,404 | $2,079,001 | 
| Year 3 | 9,575,440 | 1,348,504 | $2,109,001 | 
| 3-YEAR TOTAL | 28,709,620 | 4,042,212 | $6,202,003 | 
Generic Clearance List of Proposed Activities with Totals
December 2015 through December 2018
	
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | 889123 | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-24 |