National Beneficiary Survey (Round 8)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Supporting Statement Part B- 0960-NEW (NBS) (final).docx	Supporting Statement B	Uploaded 2022-08-17	Available
Supporting Statement Part A - 0960-NEW (NBS) (final).docx	Supporting Statement A	Uploaded 2022-08-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
254368	Successful Worker Sample, Paper-based Experiment Respondent	Other-Representative Beneficiary and Successful Worker Combined	New
254367	Successful Worker Sample Web-based Experiment	Other-Web-Based NBS	New
254366	Successful Worker Sample	Other-Representative Beneficiary and Successful Worker Combined	New
254364	Representative Beneficiary Sample	Other-Representative Beneficiary and Successful Worker Combined	New

ICR Details

OMB Control No: 0960-0827	ICR Reference No: 202206-0960-011
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: SSA	Agency Tracking No:
Title: National Beneficiary Survey (Round 8)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/19/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/17/2022
Terms of Clearance: Upon publication, the agency will provide OMB a copy of any reports that leverage information in the NBS. Additionally, and to facilitate earlier consultation and engagement on the development of this question set, if the agency decides to pursue a 9th round of the NBS, it will brief OMB (and solicit input on questions) at least two months prior to the publication of the 60-day FRN.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2025	36 Months From Approved
Responses	8,225	0	0
Time Burden (Hours)	14,927	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Social Security Administration (SSA) is seeking OMB- approval for data collection for Round 8 of the National Beneficiary Survey (NBS). The NBS is a survey intended to gather data from Supplemental Security Income (SSI) recipients and Social Security Disability Insurance (SSDI) beneficiaries about their characteristics; their well-being; and other factors that promote or hinder employment. In particular, the survey seeks to uncover important information about the factors that promote beneficiary self-sufficiency and, conversely, factors that impede beneficiary efforts to maintain employment. SSA will use this data to improve the administration and effectiveness of the SSDI and SSI programs.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 36568	06/17/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 50684	08/17/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Representative Beneficiary Sample
Successful Worker Sample
Successful Worker Sample Web-based Experiment
Successful Worker Sample, Paper-based Experiment Respondent

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ICR Summary of Burden

table that charts list 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	8,225	0	0	8,225	0	0
Annual Time Burden (Hours)	14,927	0	0	14,927	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new survey that increases the public reporting burden. See #12. for updated burden figures. *Note: The total burden reflected in ROCIS is 14,927, while the burden cited in #12 of the Supporting Statement is 8,594. This discrepancy is because the ROCIS burden reflects the following components: field office waiting time + telephone call system wait times + a rough estimate of a 30-minute, one-way, drive burden. In contrast, the chart in #12 above reflects actual burden.

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Annual Cost to Federal Government: $1,881,903

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

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Common Form ICR:  No

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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: 08/17/2022

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