Information Collection Request

SSA Beyond Benefits Study (BBS) Data Collection

ICR 202411-0960-012 · OMB 0960-0836 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
BBS Justification for a Non-Substantive Change.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-11-19 Available
BBS Justification for a Non-Substantive Change.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-11-19 Repair queued
Supporting Statement B - 0960-NEW [Beyond Benefits Study (BBS)] (Final).docx Supporting Statement B Uploaded 2024-02-20 Available
Supporting Statement B - 0960-NEW [Beyond Benefits Study (BBS)] (Final).docx Supporting Statement B Uploaded 2024-02-20 Repair queued
Supporting Statement A - 0960-NEW [Beyond Benefits Study (BBS)] (Final).docx Supporting Statement A Uploaded 2024-02-20 Available
Supporting Statement A - 0960-NEW [Beyond Benefits Study (BBS)] (Final).docx Supporting Statement A Uploaded 2024-02-20 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
265151 MI Pilot (icl. informed consent and pre-collection questions) Other-Exiter MI Pilot Letter and Consent.pdf Unchanged
265150 Survey (icl. informed consent and pre-collection questions) Other- Pre-collection instrument Unchanged
265149 In-depth interviews with state and agency leadership (icl. informed consent and pre-collection questions) Other-State Agency Leadership IDI Letter and Consent Unchanged
265148 Focus group with motivational interviewer practitioners (icl. informed consent) Other-MI Practitioner Focus Group Consent Unchanged
265147 Focus group with service providers (icl. informed consent and pre-collection questions) Other-Service Providers Focus Group Protocol. Unchanged
265146 Focus groups with Exiters and Possible Exiters (icl. informed consent and pre-collections) questions Other-. Possible Exiters Focus Group Protocol. Unchanged
265145 Interviews with Exiters and Possible Exiters (icl. informed consent and pre-collection questions) Other-Possible Exiters In-Depth Interview Protocol Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2027 03/31/2027 03/31/2027
4,565 0 4,565
3,921 0 3,921
0 0 0





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 4,565 4,565 0 0 0 0
Annual Time Burden (Hours) 3,921 3,921 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No