Protection and Advocacy for Beneficiaries of Social Security (PABSS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SSA-4570 Protection and Advocacy for Beneficiaries of Social Security (PABSS) Annual Performance Report	Form	Removed	Available
Form SSA-4570 Protection and Advocacy for Beneficiaries of Social Security (PABSS) Annual Performance Report	Form	Modified	Available
Addendum 0960-0768.docx	Supplementary Document	Uploaded 2026-04-29	Available
Supporting Statement - 0768 (final).docx	Supporting Statement A	Uploaded 2026-04-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
279980	Web-based Reporting System (SSA-4570)	Other-Web-based Reporting System (SSA-4570) Mockup	New
182006	Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Beneficiaries	Form	Removed	Protection and Advocacy for Beneficiaries of Social Security (PABSS) Annual Performance Report
181691	Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Grant Awardees	Form	Modified	Protection and Advocacy for Beneficiaries of Social Security (PABSS) Annual Performance Report
181691	Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Grant Awardees	Other-Data elements	Modified

ICR Details

OMB Control No: 0960-0768	ICR Reference No: 202604-0960-009
Status: Received in OIRA	Previous ICR Reference No: 202503-0960-007
Agency/Subagency: SSA	Agency Tracking No:
Title: Protection and Advocacy for Beneficiaries of Social Security (PABSS)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 04/29/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	05/31/2026
Responses	58	8,341
Time Burden (Hours)	2,366	5,510
Cost Burden (Dollars)	0	0

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Abstract: The PABSS projects are part of Social Security’s strategy to increase the number of Social Security Disability Insurance (SSDI) or SSI recipients who return to work and achieve financial independence and self-sufficiency as the result of receiving support, representation, advocacy, or other services. PABSS provides: (1) Information and advice about obtaining vocational rehabilitation and employment services; and (2) advocacy or other services a beneficiary with a disability may need to secure, maintain, or regain gainful employment. The PABSS Annual Program Performance Report collects statistical information from each of the PABSS projects in an effort to manage and capture program performance and quantitative data. Social Security uses the information to evaluate the efficiency of the program, and to ensure beneficiaries are receiving quality services. The project data is valuable to Social Security in its analysis of and future planning for the SSDI and SSI programs. The respondents are the 57 PABSS project sites, and recipients of SSDI and SSI programs.

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Authorizing Statute(s): US Code: 42 USC 1320b-21 Name of Law: Social Security Act
   PL: Pub.L. 106 - 170 122 Name of Law: The Ticket to Work and Work Incentives Improvement Act of 1999
   PL: Pub.L. 108 - 203 404 & 407 Name of Law: Public Law 108-203
  

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:
	91 FR 9671	02/26/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 22195	04/24/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Beneficiaries	SSA-4570	Protection and Advocacy for Beneficiaries of Social Security (PABSS) Annual Performance Report
Protection and Advocacy for Beneficiaries of Social Security (PABSS)--Grant Awardees	SSA-4570	Protection and Advocacy for Beneficiaries of Social Security (PABSS) Annual Performance Report
Web-based Reporting System (SSA-4570)

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	58	8,341	0	-8,284	1	0
Annual Time Burden (Hours)	2,366	5,510	0	-4,142	998	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: When we last cleared this IC in 2023, the burden was 4,199 hours. However, we are currently reporting a burden of 2,280 hours. This change stems from a change in methods utilized to calculate the number of respondents. The reduction in burden is solely attributable to the updated, data-driven estimation approach and not to any programmatic change in reporting requirement. In addition, PABSS grantees complete the PPR on behalf of the SSDI and SSI recipients, so we believe that beneficiaries should not have been included in the previous clearance, we are removing the beneficiaries from the burden chart. These figures represent current Management Information data. * Note: The total burden reflected in ROCIS is 2,366, while the burden cited in #12 of the Supporting Statement is 2,280. This discrepancy is because the ROCIS burden also reflects learning costs. In contrast, the chart in #12 of the Supporting Statement reflects actual burden.

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Annual Cost to Federal Government: $128,966

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: 04/29/2026

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