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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
2011 Field Test of the Re-engineered Survey of Income and Program Participation
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
2011 Re-Engineered SIPP Items Booklet
2011 Re-Engineered SIPP Items Booklet
2011 ReSIPP Items Booklet.docx
Yes
Yes
Fillable Fileable
Other-Director's Letter
sipp105ldr2010.pdf
No
Paper Only
Other-Director's Letter (Spanish)
sipp105lspdr2010.pdf
No
Paper Only
Other-Change of Address Letter With Incentive
sipp106ldr.pdf
No
Paper Only
Other-Change of Address Letter Without Incentive
sipp107ldr.pdf
No
Paper Only
Other-Change of Address Card
Change Of Address Form - Attachment F.docx
No
Paper Only
Other-SIPP Brochure
SIPP Brochure SIPP-4006A_2011 Attachment G.pdf
No
Paper Only
Instruction
Respondent Rules Attachment H.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
5,500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
7,670
0
7,670
0
0
0
Annual IC Time Burden (Hours)
5,681
0
5,681
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.