Fiscal Year (FY) 2021 Prospective Client Survey and FY 21 National Disability Forum

Generic Clearance of Customer Satisfaction Surveys

FY 2021 PCS Questionnaire

Fiscal Year (FY) 2021 Prospective Client Survey and FY 21 National Disability Forum

OMB: 0960-0526

Document [docx]
Download: docx | pdf

Looking Ahead: How Should Social Security Serve You?


BEFORE YOU START:

Do you currently receive, or have you applied for Social Security benefits of any kind in the last 5 years?

Mark one answer.

Yes

STOP!

You do not need to complete this survey. Please leave the rest of the survey blank and return it in the enclosed envelope with only this box marked. Thank you for your time.

No

CONTINUE READING.


ABOUT OUR SURVEY

To prepare for the future, Social Security needs your help! This survey asks about planning to file for retirement benefits, your expectations for good service, your preference for contacting Social Security, and what kinds of services you think we should have available. The survey should take about 15 minutes to finish.

  • Answer all questions as directed. You may be told to skip over some questions. When that happens, you will see an arrow with a note telling you what question to answer next:


Example:

o Yes




No SKIP to Question 1.


INSTRUCTIONS FOR MARKING YOUR ANSWERS

  • Use a pen with blue or black ink or a number 2 pencil.

  • Make no stray marks.

  • Do not use a pen with ink that soaks through the paper.

  • Keep all entries within the appropriate boxes.

GETTING READY FOR RETIREMENT


  1. One of the tools people can use to get ready for retirement is the Social Security Statement. It shows your Social Security earnings for all the years that you worked and an estimate of your future benefit amount. How did you get your Social Security Statement?

Mark one answer.

o

It came in the mail from Social Security

o

I used my Social Security account to get one on Social Security’s website

SKIP to Question 3.

o

It came in the mail from Social Security and I used my Social Security account to get one on Social Security’s website SKIP to Question 3.

o

I did not get a Social Security Statement


  1. Are you aware that you can access your Social Security Statement by setting up a my Social Security account?

Mark one answer.

o

Yes

o

No

SKIP to Question 5.


  1. Did you use your my Social Security account to access your Social Security Statement online after receiving an annual reminder from Social Security?

Mark one answer.

o

Yes

o

No


  1. How would you rate the usefulness of the Social Security Statement?

Mark one answer.

Very

Useful

Somewhat Useful

Not Very Useful

Not at All Useful

I found the Social Security Statement …

o

o

o

o


  1. Social Security has a tool on its website that my Social Security account holders can use to find out how much their monthly retirement benefit will be called the my Social Security Retirement Calculator (my RC) Have you ever used the online Retirement Calculator?

Mark one answer.

o

Yes


o

No

SKIP to Question 7.



  1. How would you rate the usefulness of the my Social Security Retirement Calculator on Social Security’s website?

Mark one answer.

Very

Useful

Somewhat Useful

Not Very Useful

Not at All Useful

I found the my Social Security Retirement Calculator to be…

o

o

o

o


  1. Besides the Social Security Statement or my Social Security Retirement Calculator, have you ever gotten any other information about Social Security retirement benefits?

Mark one answer.

o

Yes


o

No

SKIP to Question 9.


  1. Where did you get that information?

Mark all answers that apply.

o

Spoke to a Social Security employee on the phone or in person

o

Social Security’s website

o

Website other than Social Security’s

o

Senior citizens organization, such as AARP

o

Accountant or financial advisor

o

Employer or union

o

Friends or relatives

o

Local seminars or meetings

o

Traditional media (newspaper, magazine, TV, or radio)

o

Social networking site like Facebook or Twitter

o

Government agency other than Social Security

o

Someplace else Please explain: ___________________________________________


YOUR RETIREMENT PLANS


  1. Please indicate your current employment status below.

Mark one answer.

o

Full time employment

o

Part time employment

o

Temporarily laid off work

o

Unemployed, looking for work

o

Volunteer work

o

Not working (Retired)


  1. At what age do you plan to stop (or did you stop) working?


Mark one answer.

Before Age 62

62 – 65

66 – 67

At 68 or older

No current plans to stop working

I am not sure

I plan to stop (or I stopped) working….

o

o

o

o

o

o


  1. Displayed in the table below are the various options for claiming Social Security retirement benefits. After reviewing these options, please mark the box that best describes when you plan to claim benefits.*


At Age 62

Between 62

and your Full Retirement Age

At your Full

Retirement Age

66 or 67

Between your Full Retirement Age and Age 70

At Age 70

or Older

Maximum reduction in monthly benefit

Some reduction in monthly benefit

Full unreduced monthly benefit

Some increase in monthly benefit

Maximum increase in monthly benefit

*For more information about these options go to http://www.socialsecurity.gov/retire2/applying1.htm.

YOUR PREFERENCES FOR CONTACTING SOCIAL SECURITY IN THE FUTURE


For questions 12 through 15, please mark to indicate how you would like to contact Social Security in the future.

Select one as your preferred contact method for each type of service or activity.


  1. For the following services, how would you prefer to contact Social Security?


To replace a lost Social Security card, I would prefer to…


Speak on the telephone

with an SSA employee

Visit a Local Office

Use the Website

Have a Video Appointment

Use a Mobile Application (App)





To correct my Social Security earnings record, I would prefer to…


Speak on the telephone

with an SSA employee

Visit a Local Office

Use the Website

Have a Video Appointment

Use a Mobile Application (App)

  1. How would you prefer to contact Social Security to get information?


To get information from Social Security, I would prefer to…


Speak on the telephone

with an SSA employee

Visit a Local Office

Use the Website

Have a Video Appointment

Use a Mobile Application (App)


  1. After you get all the information you need, and you are ready to apply for benefits, how would you prefer to contact Social Security in connection with your application?


To complete an application for benefits, I would prefer to…


Speak on the telephone

with an SSA employee

Visit a Local Office

Use the Website

Have a Video Appointment

Use a Mobile Application (App)


To schedule an appointment to speak with someone about my application, I would prefer to…


Speak on the telephone

with an SSA employee

Visit a Local Office

Use the Website

Have a Video Appointment

Use a Mobile Application (App)


To check on my application while it’s being processed, I would prefer to…


Speak on the telephone

with an SSA employee

Visit a Local Office

Use the Website

Have a Video Appointment

Use a Mobile Application (App)


  1. For services related to the Social Security benefits you may receive in the future, such as changing your address or getting a statement of the total benefits you received in the last year, how would you prefer to contact Social Security?


To change information on my Social Security records, I would prefer to…


Speak on the telephone

with an SSA employee

Visit a Local Office

Use the Website

Have a Video Appointment

Use a Mobile Application (App)


To get information from my Social Security records, I would prefer to…


Speak on the telephone

with an SSA employee

Visit a Local Office

Use the Website

Have a Video Appointment

Use a Mobile Application (App)


YOUR PREFERENCES FOR SOCIAL SECURITY’S TELEPHONE SERVICE


  1. Although it may not have been your preferred contact method in questions 12 through 15, do you think you would ever call Social Security for your service needs in the future?


Mark one answer.

o

Yes


o

No

è SKIP to Question 18.


  1. For the following actions, please mark  the box that best describes the amount of time you think is reasonable to wait on the phone.


A reasonable time for me to wait:

Less than 1 minute

1 to 3 minutes

4 to 5 minutes

6 to 10 minutes

11 to 20 minutes

More than 20 minutes

To speak to an employee on the phone is …

o

o

o

o

o

o








A reasonable time for me to wait:

Less than 1 hour

More than 1 hour but same day

Next day

2 to 3 days

More than 3 days

A week or more

For an employee to call me

back when I leave a phone message is …

o

o

o

o

o

o



YOUR PREFERENCES FOR SOCIAL SECURITY’S IN-OFFICE SERVICE


  1. Although it may not have been your preferred contact method in questions 12 through 15, do you think you would ever visit a Social Security office for your service needs in the future?

Mark one answer.

o

Yes


o

No

è SKIP to Question 20.


  1. For the following actions, please mark  the box that best describes the amount of time you think is reasonable to wait.


A reasonable time for me to wait:

Same day

Next day

About 2‑3 days

About 1 week

About 2 weeks

More than 2 weeks

To get an appointment in a local office is …

o

o

o

o

o

o


A reasonable time for me to wait:

Less than 5 minutes

5 to 10 minutes

11 to 20 minutes

21 to 30 minutes

31 to 45 minutes

More than 45 minutes

To be seen in an office without an appointment is …

o

o

o

o

o

o

To be seen in an office with an appointment is …

o

o

o

o

o

o



YOUR PREFERENCES FOR CONTACTING SOCIAL SECURITY VIA WEBSITE


  1. Although it may not have been your preferred contact method in questions 12 through 15, do you think you would ever use the website to contact Social Security for your service needs in the future?

Mark one answer.

Yes


No

SKIP to Question 22.



  1. For the following action, please mark  the box that best describes the amount of time you think is reasonable to wait.


A reasonable time for me to wait:

Less than 1 hour

More than 1 hour but same day

Next day

2 to 3 days

More than 3 days

A week or more

To get a response when I ask

a question via email or secure message is…

o

o

o

o

o

o


YOUR EXPERIENCE USING THE INTERNET AND ONLINE SERVICES


  1. Do you currently use the Internet?

Mark one answer.

o

Yes


o

No

è SKIP to Question 33.


  1. What device do you most frequently use to conduct business online? Do you use:

Mark one answer.

o

A desktop or laptop computer

o

A smartphone

o

A tablet


  1. When conducting business online, which do you prefer?

Mark one answer.

o

A website

o

A downloadable application (app)

o

I do not have a preference


  1. How frequently do you conduct your personal business?

Mark one answer for each

Always

Often

Occasionally

Rarely

Never

Online

o

o

o

o

o

By telephone

o

o

o

o

o

By mail

o

o

o

o

o

In person

o

o

o

o

o

Using video

o

o

o

o

o


  1. Social Security offers a service called my Social Security (www.socialsecurity.gov/myaccount) where people can create a secure online account with a user name and password to receive various types of service. For example, people can view a record of their earnings and get an estimate of their monthly benefit online. Do you have a my Social Security account?

    Mark one answer.

    o

    Yes


    o

    No

    è SKIP to Question 29.

  2. Have you ever used your my Social Security account?

    Mark one answer.

    o

    Yes


    o

    No

    è SKIP to Question 30.

  3. What have you used your my Social Security account for?

Mark all answers that apply.

o

To view estimates of my future benefits

o

To verify my earnings

o

To view the estimated Social Security and Medicare taxes I have paid

o

To request a replacement Social Security card

o

To get a letter to show that I do not receive any benefit payments


è SKIP to Question 30.


  1. Why haven’t you created your my Social Security account?

Mark all answers that apply.

o

I do not like to provide or receive information online

o

The registration too hard

o

I tried but was not able to complete registration for technical reasons

o

I do not know enough about it

o

The current online services do not fit my needs

o

I do not have a computer or internet access

o

I don’t trust SSA’s security

o

I don’t have a reason to make an account at this time

o

Some Other Reason (please describe)____________________________


  1. Social Security also offers online services on its website. How likely would you be to use one of Social Security’s online services?


Mark one answer.

Very

Likely

Somewhat Likely

Not Very Likely

Not at All Likely

For me, using one of Social Security’s online services is…

o

o

o

o


  1. What is the main reason why you might be likely to use Social Security’s online services?


Mark ONLY one answer.

Can do it any time of day


Can take as much time as I need


Don’t have to wait to speak to someone, either on the phone or in person


Don’t have to travel to the office


Can have all my records at hand or can look something up if I need to


Some other reason you might use it Please explain:___________________________________


Can’t think of any reason why I would use it



  1. What is the main reason why you might not be likely to use Social Security’s online services?

Mark ONLY one answer.

o

Easier to understand things explained by a person

o

Can get questions answered right away by a person

o

Concerned about security and/or privacy of my information

Some other reason you might not use it Please explain: _____________________________

Can’t think of any reason why I wouldn’t use it


  1. Are you more or less likely to use service options like phone, internet, or video since the global pandemic in 2020?

Mark one answer.

Much more likely

More likely

Unchanged

Less likely

Much less likely

o

o

o

o

o


Thank you for your time and attention with this survey. Social Security will use your answers to make plans for the future. Please return the completed questionnaire in the postage-paid envelope as soon as possible to:


Social Security Survey

[Contractor Return Address]

PRIVACY ACT STATEMENT


The Social Security Administration is authorized to collect the information for this survey under Executive Order 12862, “Setting Customer Service Standards.” Your response to these questions is strictly voluntary. The information you provide will be used to help us improve the service that we give you. Your response will not be disclosed to any other government or private agency.


OMB Control No: 0960-0526

Expiration Date:

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 15 minutes to read the instructions, gather the facts and answer the questions. You may send comments on our time estimate above to:

Social Security Administration, 6401 Security Blvd., Baltimore, MD 21235-6401.


Send only comments relating to our time estimate to this address, not the completed form.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleLooking Ahead: Serving the Growing Retirement Population
Authorzlewis01
File Modified0000-00-00
File Created2021-01-13

© 2024 OMB.report | Privacy Policy