Addendum to Supporting Statement for 0960-0644

Addendum to Supporting Statement for

The Ticket to Work and Self-Sufficiency Program

20 CFR 411

OMB No. 0960-0644

Revisions to the Collection Instrument

SSA is making the following revisions:

• Change #1: We are adding the follow data collections to this clearance package:

• The Proof of Relationship (PoR)

• The Annual Performance Outcome Report (APOR)

• Work Incentive Seminar Events (WISE) Webinar Survey

Justification #1:

We are adding The Proof of Relationship (PoR) form is to be submitted to TPM by ENs. This form will be used by TPM to verify that ENs are maintaining relationships with and providing services their Ticketholders during the early stages of employment.

The Annual Performance Outcome Report (APOR) will be submitted annually to TPM by ENs to report staffing and servicing information to SSA.

The Work Incentive Seminar Events (WISE) are webinars that allow speakers to share information about the TTW program and Social Security work incentives with audience members who include Social Security beneficiaries and their family members, community partners and EN staff. SSA plans to conduct monthly WISE webinars. To ensure WISE events are providing effective and quality service, we need to assess the levels of understanding and awareness that participants gain from attending these events. Additionally, SSA seeks to know if different aspects of the events meet the participants’ needs. This survey will ask participants to rate the experience provided by the WISE events as it pertains to their ability and desire to participate in the TTW program. We will use the WISE Webinar Surveys to garner feedback on online events.