Work Incentives Planning and Assistance (WIPA)

OMB 0960-0629

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 2023-05-31 and can be found here.

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 SSA-4565WIPA Beneficiary/Recipient ApplicationFillable FileableForm
Form SSA-4566 WIPA CASE NOTESPaper OnlyForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


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