State of Georgia’s Criminal Justice Coordinating Council’s (CJCC) Evaluation of the Implementation of the (SSI)/SSDI Outreach, Access, and Recovery (SOAR) Model in County Jails

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
10-26-26 - Comment from Anonymous - Redacted to show comments for 0960-0833 only.pdf	Public Comments	Uploaded 2026-10-26	Available
Addendum - 0833 (Final).docx	Supplementary Document	Uploaded 2026-10-30	Available
Supporting Statement B - 0833 (Final)).docx	Supporting Statement B	Uploaded 2026-10-29	Available
Supporting Statement A - 0833 (Final).docx	Supporting Statement A	Uploaded 2026-10-29	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
258843	Informed Consent (Paper)	Other-CJCC Informed Consent Form	Modified
258842	Follow-up Survey (Internet or Telephone)	Other-CJCC Follow-Up Survey	Modified
258841	Initial Enrollment Survey (Paper)	Other-CJCC Initial Enrollment Survey	Modified

ICR Details

OMB Control No: 0960-0833	ICR Reference No: 202610-0960-007
Status: Received in OIRA	Previous ICR Reference No: 202303-0960-001
Agency/Subagency: SSA	Agency Tracking No:
Title: State of Georgia’s Criminal Justice Coordinating Council’s (CJCC) Evaluation of the Implementation of the (SSI)/SSDI Outreach, Access, and Recovery (SOAR) Model in County Jails
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/30/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	10/31/2026
Responses	80	360
Time Burden (Hours)	48	170
Cost Burden (Dollars)	0	0

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Abstract: SSA is in a cooperative agreement with the State of Georgia’s Criminal Justice Coordinating Council (CJCC) to conduct an intervention and evaluation of the Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) Outreach, Access, and Recovery (SOAR) model in county jails with inmates with serious and persistent mental illness (SPMI) across the state. In addition to SSA, CJCC partnered with: (1) Applied Research Services (ARS), (2) the Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD), and (3) four county jails to implement the program. For this intervention, investigators hypothesized that untreated mental illness and repeated psychiatric crises may be a factor in jail recidivism. Therefore, the ability for inmates with SPMI to receive SSI/SSDI and attendant insurance benefits may help them obtain treatment and thus help to mitigate their criminal tendencies. This intervention connects respondents in four county jails identified as having SPMI to Medicaid Eligibility Specialists (MES) hired and trained by the Georgia DBHDD, who help them apply for SSI and SSDI. Respondents in two of the four counties (Fulton County Jail and Cobb County Jail) also have the option of working with a Forensic Peer Mentor (FPM), a formerly incarcerated individual who is familiar with resources that may help participants increase their quality-of-life post incarceration and avoid recidivism. SSA works with the two DBHDD MESs who are serving the participants over the total life of the project. To maximize the likelihood of the SSI/SSDI application approval, the MES employs the SOAR method, which uses in depth medical and personal summaries of disability to facilitate the SSI/SSDI application process. Researchers collect data from participant surveys to evaluate and study the impact of the intervention. Through the data collected through these surveys, along with administrative data from SSA, the State of Georgia, participating counties, and DBHDD hope to address the following research questions: • Does connection to a SOAR-trained specialist increase the likelihood that a person with SPMI in jail will be approved for SSI/SSDI benefits? • If a person with SPMI receives SSI/SSDI benefits, are they able to connect to treatment resources that they may not have been able to obtain before? • If a person with SPMI connects to treatment resources and successfully engages with them, are they able to achieve mental health recovery and stay out of jail? To date, we began the initial enrollment and informed consent phase of this intervention, and we are currently completing this stage. We also began the follow up survey stage for the first set of enrollees in the intervention, and we will continue to administer the follow-up survey as needed through 2027 until we complete this phase with all the respondents. The respondents are individuals with serious and persistent mental illness incarcerated in county jails in the state of Georgia.

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Authorizing Statute(s): US Code: 42 USC 1310 Name of Law: Social Security Act
  

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 55421	08/27/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 68213	10/29/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Follow-up Survey (Internet or Telephone)
Informed Consent (Paper)
Initial Enrollment Survey (Paper)

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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	80	360	0	0	-280	0
Annual Time Burden (Hours)	48	170	0	0	-122	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: No

Burden Reduction Due to:

Short Statement: When we cleared this ICR in 2023, the burden was 113 hours. However, we are currently reporting a burden of 28 hours. This change stems from reducing the expected number of participants from 90 annually to 60 total for the duration of the project, as well as a reduction in the number of follow-up surveys from two to one. Because the burden estimates are directly tied to the number of individuals completing the consent form and survey instruments, a smaller respondent pool results in a corresponding decrease in total time burden. We note that we need to reduce the overall respondent pool based on overall delays in staffing, delays in the federal review processes, and changes to the multi-agency implementation requirements. *Note: The total burden reflected in ROCIS is 48, while the burden cited in #12 of the Supporting Statement is 28. This discrepancy is because the ROCIS burden also reflects the learning costs. In contrast, the chart in #12 above reflects actual burden.

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Annual Cost to Federal Government: $2,028

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: 10/30/2026

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