OMB control number
Work Incentives Planning and Assistance (WIPA)
OMB 0960-0629 · SSA.
OMB 0960-0629
As part of SSA’s strategy to assist SSDI) beneficiaries and SSI recipients who wish to return to work and achieve self-sufficiency, SSA established the Work Incentives Planning and Assistance (WIPA) program. This community based, work incentive, planning and assistance project collects identifying claimant information via project sites and community work incentives coordinators (CWIC). SSA uses this information to ensure proper management of the project, with particular emphasis on administration, budgeting, and training. In addition, project sites and CWIC’s collect data from SSDI beneficiaries and SSI recipients on background employment, training, benefits, and work incentives. SSA is interested in identifying SSDI beneficiary and SSI recipient outcomes under the WIPA program, to determine the extent to which beneficiaries with disabilities and SSI recipients achieve their employment, financial, and healthcare goals. SSA will also use the data in its analysis and future planning for SSDI and SSI programs. Respondents are SSDI beneficiaries, SSI recipients, community project sites, and employment advisors.
The latest form for Work Incentives Planning and Assistance (WIPA) expires 2026-10-31 and is listed under ICR 202203-0960-011.
Latest Forms, Documents, and Supporting Material
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| Supporting Statement A | |
| Justification for No Material/Nonsubstantive Change | |
| Other-WIPA Star Screens | |
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All Historical Document Collections
OMB Details
Work Incentives Planning and Assistance Program (WIPA)- (Small Site Under 150 Beneficiaries served)
Federal Enterprise Architecture: Income Security - General Retirement and Disability
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form SSA-4566 | WIPA CASE NOTES | Paper Only | Form |
| Form SSA-4565 | WIPA Beneficiary/Recipient Application | Fillable Fileable | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.