Information Collection Request

Improving Customer Experience (OMB Circular A-11, Section 280 Implementation

ICR 202307-0960-001 · OMB 0960-0818 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0960-0818 eAccess End of Task survey Form and Instruction New Repair queued
ICR Template_A11 Section 280 Clearance.docx Supplementary Document Uploaded 2023-07-13 Repair queued
Supporting Statement B for Agencies_A 11 Section 280 Improving Customer Experience - (Final).docx Supporting Statement B Uploaded 2023-07-12 Repair queued
0960-0818 Supporting Statement A for Improving Customer Experience.docx Supporting Statement A Uploaded 2023-07-11 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
281602 Always On Social Security Customer Feedback Survey Other-Always On Survey New
276334 Wage File Upload (WFU) survey Other-Wage File Upload (WFU) Survey New
276333 SSA.gov Intercept Survey Other-SSA.gov Intercept Survey New
276275 iAppeals End of Task Survey Other-iAppeals End of Task Survey New
276273 Enterprise Scheduling System (ESS) Survey Other-Enterprise Scheduling System (ESS) Survey New
276270 mySocial Security Survey Other-My Social Security Survey New
276268 Online Continuing Disability (CDR)/i454 End of Task Survey Other-Online Continuing Disability (CDR)/i454 End of Task Survey New
276266 Online Forms (eforms) Customer Satisfaction Survey Other-Online Forms (eForms) Customer Satisfaction Survey New
276262 Extra Help End of Task Survey Other-Extra Help End of Task Survey New
275656 Medallia Survey for Video Interviews Other-Medallia Survey for Video Interviews New
275412 eAccess End of Task survey Form and Instruction NeweAccess End of Task survey
275412 eAccess End of Task survey Other-eAccess End of Task survey New
275295 Upload Documents Survey Other-Document Uploader (eSubmit) Survey New
275294 SSA.gov Feedback Button Survey Other-SSA.gov Feedback Button Survey New
275293 Page Level Survey Other-Page Level Survey New
275278 Mobile Wage Reporting End of Task Survey Other-Mobile Wage Reporting End of Task Survey New
275276 Internet Social Security Number Replacement Card (iSSNRC) End of Task Survey Other-Internet Social Security Number Replacement Card (iSSNRC) New
273945 Internet Claim (iClaim) and SSA-3368 Adult Disability Report End of Task Survey Other-Internet Claim (iClaim) and SSA-3368 Adult Disability Repo New
272357 Business Services Online (BSO) survey Other-Business Services Online (BSO) Survey New
272119 Appeals and Appointed Rep Portal Service (AARPS) Other-Survey New
271251 Always On Social Security Customer Feedback Survey Other-Always On Social Security Customer Feedback Survey New
270178 Online Forms (eForms) Customer Satisfaction Survey Other-Online Forms (eForms) Customer Satisfaction Survey New
270177 Online Continuing Disability (CDR)i454 End of Task Survey Other-Online Continuing Disability (CDR)/i454 End of Task Survey New
270071 Wage File Upload (WFU) Survey Other- Wage File Upload (WFU) Survey New
270051 Enterprise Scheduling System (ESS) Survey Other-Enterprise Scheduling System (ESS) Survey New
270043 Cost of Living Adjustment (COLA) Notice Survey Other-Cost of Living Adjustment (COLA) Notice Survey New
270012 my Social Security Survey Other-My Social Security Survey New
270011 Social Security Website Feedback Intercept Survey Other-Social Security Website Feedback Intercept Survey New
269972 Mobile Wage Reporting End of Task Survey Other-Mobile Wage Reporting End of Task Survey New
269808 Electronic Protective Filing Tool (ePFT) Other-Electronic Protective Filing Tool (ePFT) New
269799 Extra Help End of Task Survey Other-Extra Help End of Task Survey New
269798 iAppeals End of Task Survey Other-iAppeals End of Task Survey New
269682 Always On Social Security Customer Feedback Survey Other-Always On Social Security Customer Feedback Survey New
269603 Supplemental Security Income (SSI) Child to Adult Transition Notice Survey Other-Supplemental Security Income (SSI) Child to Adult Transiti New
267764 Online Account Legacy Transition Survey Other-Online Account Legacy Transition Survey New
264719 Internet Claim (iClaim) and SSA-3368 Adult Disability Report End of Task Survey Other-Internet Claim (iClaim) and SSA-3368 Adult Disability Repo New
264388 Upload Documents (eSubmit) Survey Other-Upload Documents (eSubmit) Survey New
264286 Internet Social Security Number Replacement Card (iSSNRC) End of Task Survey Other-iSSNRC End of Task Survey New
263769 eAccess End of Task survey Other-eAccess End of Task survey New
263767 Business Services Online (BSO) survey Other-Screen Changes to display Contact Type of Video in ESS New
263506 eAccess Page Level Survey Other-eAccess Page Level Screens New
262874 SSA.gov Feedback Button Survey Other-SSA.gov Feedback Button Survey New
262873 Page Level Survey Other-Page Level Survey New
262749 Medallia Survey for Video Interviews Other-Medallia Survey for Video Interviews New
261853 iAppeals End of Task Survey Other- iAppeals End of Task Survey New
261852 Document Uploader (eSubmit) Survey Other-Document Uploader (eSubmit) Survey New
261851 Wage File Upload (WFU) survey Other-Wage File Upload (WFU) survey New
261850 Online Forms (eForms) Customer Satisfaction Survey Other-eForms Customer Satisfaction Survey New
261787 Social Security Website Feedback Intercept Survey Other-Social Security Website Feedback Intercept Survey New
261786 mySocial Security Survey Other-mySocial Security Survey New
261772 Electronic Protective Filing Tool (ePFT) End of Task Survey Other-Electronic Protective Filing Tool (ePFT) End of Task Surve New
261758 Online Continuing Disability (CDR)/i454 End of Task Survey Other-End of Task Survey New
261707 Always On Social Security Customer Feedback Survey Other- Always On Social Security Customer Feedback Survey New
261700 Enterprise Scheduling System (ESS) Survey Other-Enterprise Scheduling System (ESS) Survey New
261698 Extra Help End of Task Survey Other-Extra Help End of Task Survey New
261565 Mobile Wage Reporting End of Task Survey Other-Mobile Wage Reporting End of Task Survey New
261042 Improving Customer Experience (OMB Circular A-11, Section 280 Implementation) New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2026 36 Months From Approved 08/31/2023
17,866,680 0 17,866,680
3,426,575 0 3,426,575
8,993,039 0 8,993,039





Reginfo record details
56
table that charts list of burden
IC Title Form No. Form Name
Appeals and Appointed Rep Portal Service (AARPS)
Electronic Protective Filing Tool (ePFT) End of Task Survey
Extra Help End of Task Survey
Online Forms (eForms) Customer Satisfaction Survey
Social Security Website Feedback Intercept Survey
Social Security Website Feedback Intercept Survey
Upload Documents Survey
Wage File Upload (WFU) Survey
iAppeals End of Task Survey
Always On Social Security Customer Feedback Survey
Always On Social Security Customer Feedback Survey
Always On Social Security Customer Feedback Survey
Always On Social Security Customer Feedback Survey
Business Services Online (BSO) survey
Business Services Online (BSO) survey
Cost of Living Adjustment (COLA) Notice Survey
Document Uploader (eSubmit) Survey
Electronic Protective Filing Tool (ePFT)
Enterprise Scheduling System (ESS) Survey
Enterprise Scheduling System (ESS) Survey
Enterprise Scheduling System (ESS) Survey
Extra Help End of Task Survey
Extra Help End of Task Survey
Improving Customer Experience (OMB Circular A-11, Section 280 Implementation)
Internet Claim (iClaim) and SSA-3368 Adult Disability Report End of Task Survey
Internet Claim (iClaim) and SSA-3368 Adult Disability Report End of Task Survey
Internet Social Security Number Replacement Card (iSSNRC) End of Task Survey
Internet Social Security Number Replacement Card (iSSNRC) End of Task Survey
Medallia Survey for Video Interviews
Medallia Survey for Video Interviews
Mobile Wage Reporting End of Task Survey
Mobile Wage Reporting End of Task Survey
Mobile Wage Reporting End of Task Survey
Online Account Legacy Transition Survey
Online Continuing Disability (CDR)/i454 End of Task Survey
Online Continuing Disability (CDR)/i454 End of Task Survey
Online Continuing Disability (CDR)i454 End of Task Survey
Online Forms (eForms) Customer Satisfaction Survey
Online Forms (eforms) Customer Satisfaction Survey
Page Level Survey
Page Level Survey
SSA.gov Feedback Button Survey
SSA.gov Feedback Button Survey
SSA.gov Intercept Survey
Supplemental Security Income (SSI) Child to Adult Transition Notice Survey
Upload Documents (eSubmit) Survey
Wage File Upload (WFU) survey
Wage File Upload (WFU) survey
eAccess End of Task survey 0960-0818
eAccess End of Task survey
eAccess Page Level Survey
iAppeals End of Task Survey
iAppeals End of Task Survey
my Social Security Survey
mySocial Security Survey
mySocial Security Survey

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 17,866,680 17,866,680 0 0 0 0
Annual Time Burden (Hours) 3,426,575 3,426,575 0 0 0 0
Annual Cost Burden (Dollars) 8,993,039 8,993,039 0 0 0 0


Reginfo record details
  No