The survey is for recent disability benefit applicants—people like you who have applied for Social Security SSI or SSDI disability benefits. The SSA is interested in learning about your experiences before and during the application process. By participating you may help SSA improve the disability application process. The survey will take 30-40 minutes to complete.
If you need assistance, it is OK to ask another person to fill the survey out on your behalf as long as they are able to answer questions about your disability application experience, your health status and use of benefits.
Section 11109(a) of the Social Security Act, as amended, allows us to collect this information, which we will use to help the Social Security Administration (SSA) identify new interventions and policies to improve the application process and experience of applicants. Providing us this information is voluntary; not providing all or part of the information will not affect any SSA benefit. As law permits, we may use or share the information you submit, including with other Federal agencies, contractors, student volunteers, and others, as outlined in the routine uses within the System of Records Notices (SORN) 60-0382 available at www.ssa.gov/privacy. The information you submit may also be used in computer matching programs to establish or verify eligibility for Federal benefit programs and recoup debts under these programs.
OMB CONTROL NUMBER: 0960-0788
EXPIRATION DATE: 11/30/2026
For questions about the survey, call Westat toll-free at 1-855-450-6464 toll free.
For questions about your rights and welfare as a research participant, call the Westat Human Subjects Protections office at 1-888-920-7631. To protect your privacy, leave a message only with your first name, the name of the survey (New Applicant Survey) and a phone number beginning with the area code.
Thank you very much for your participation in the New Applicant Survey! A list of nationally available resources that may be helpful if you experience anxiety or frustration is listed below for your reference.
List of nationally available resources: