Accelerated Benefits Demonstration Project

ICR 200705-0960-002

OMB: 0960-0747

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2007-05-10
Supplementary Document
2007-05-10
Supporting Statement A
2007-05-10
Supplementary Document
2007-05-07
Supporting Statement B
2007-05-07
IC Document Collections
ICR Details
0960-0747 200705-0960-002
Historical Active
SSA
Accelerated Benefits Demonstration Project
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 08/02/2007
Retrieve Notice of Action (NOA) 05/11/2007
This ICR is approved on the understanding that: 1) SSA will include all of the appropriate caveats and disclaimers regarding the limitations of this study, particularly its generalizability, when reporting the results of this study; 2) SSA will provide a progress report to OMB before commencing with Phase II of the study; 3) the baseline survey will include the SF-6D questions and retain only those original health status/function questions that are not covered by the SF-6D; 4) SSA will revise the Privacy Act blurb to say "... confidential to the extent provided by the Privacy Act"; 5) SSA will brief OMB on the follow-up survey and the planned cost-utility analysis at least 6 months prior to implementation. The follow-up survey will be submitted as a revision to this ICR: at that time, SSA will ensure that all supporting materials (including health benefit information, respondent approach letters, etc.) are included with the submission.
  Inventory as of this Action Requested Previously Approved
08/31/2010 36 Months From Approved
38,292 0 0
6,812 0 0
0 0 0

The Accelerated Benefits Demonstration Project is a multi-phase study designed to assess whether providing new SSDI beneficiaries with health benefits and employment supports will stabilize or improve their health and help them return to work early. In this long-term study, new SSDI disability recipients (i.e., those who have just begun receiving benefits and who have at least 18 months remaining before they qualify for Medicare) will be divided into three groups: 1) a control group that will just receive their regular SSDI benefits; 2) a treatment group that will receive immediate access to health care benefits; and 3) a treatment group that will receive health care benefits and additional care management, employment, and benefits services and support. The study, which will be conducted for SSA by research contractors and health care experts, will assess whether health benefits alone or health benefits with additional support services improve the health and employment outcomes of new SSDI beneficiaries.

US Code: 42 USC 434 Name of Law: null
  
None

Not associated with rulemaking

  72 FR 834 01/08/2007
72 FR 24651 05/03/2007
No

2
IC Title Form No. Form Name
Baseline Survey Materials
Early Use Survey

  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 38,292 0 0 38,292 0 0
Annual Time Burden (Hours) 6,812 0 0 6,812 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
SSA is conducting a new study, the Accelerated Benefits Demonstration Project, resulting in a burden increase. Please note that when reviewing the ICs we recommend simultaniously looking at number 12 of the supporting statement (page 16) which gives a more detailed breakdown for each IC. The IC burden data in ROCIS represents an aggregate total for the multiple components in the IC.

$1,694,000
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Elizabeth Davidson 411-965-0454 liz.davidson@ssa.gov

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
05/11/2007


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