View Information Collection (IC)

View Information Collection (IC)

SIPP 2014 Panel
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Items Booklet Items Booklet A-2014 SIPP Items Booklet - Attachment A Part 1.pdf Yes Yes Fillable Fileable
Form EHC EHC A-2014 SIPP Items Booklet - Attachment A Part 2 (EHC).pdf Yes Yes Fillable Fileable
Other-SIPP-105(L1)2014–Director's Letter B-SIPP-105(L1)(2014) Attachment B.pdf Yes Yes Fillable Fileable
Other-SIPP-105(L1)(SP)2014–Spanish Director's Letter C-SIPP-105(L1)(SP)(2014) Attachment C.pdf Yes Yes Fillable Fileable
Other-SIPP-105(L2)2014–Director's Letter with $20 incentive SIPP-105(L2)(2014) revised incentive statement.pdf Yes Yes Fillable Fileable
Other-SIPP-105(L3)2014–Director's Letter with $40 incentive SIPP-105(L3)(2014) revised incentive statement.pdf Yes Yes Fillable Fileable
Other-Respondent Rules F-SIPP Respondent Rules - Attachment F.pdf Yes Yes Fillable Fileable
Other-Respondent Rules (Spanish) G-SIPP Respondent Rules - Attachment G (Spanish).pdf Yes Yes Fillable Fileable
Other-SIPP Fact Sheet H-SIPP 101_Factsheet [Attachment H].pdf Yes Yes Fillable Fileable
Other-SIPP Brochure: Health Insurance I-SIPP_Health Insurance_Brochure Attachment I.pdf Yes Yes Fillable Fileable
Other-SIPP Brochure: Families with Children J-SIPP_Families with Children Brochure Attachment J.pdf Yes Yes Fillable Fileable
Other-SIPP Brochure: Labor Force and Employment K-SIPP_Labor Force_Brochure Attachment K.pdf Yes Yes Fillable Fileable
Other-SIPP In the News L-SIPP in the News_Attachment L.pub Yes Yes Fillable Fileable
Other-SIPP-INF1-2014 Incentive Flyer for Director’s Letter $40 M-sipp_inf1_2014 Attachment M.pdf Yes Yes Fillable Fileable
Other-SIPP-INF2-2014 Incentive Flyer for Director’s Letter $20 N-sipp_inf2_2014 - Attachment N.pdf Yes Yes Fillable Fileable
Other-SIPP PIN letter O-sipp_pin_2014 Attachment O.pdf Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt

 

73,500 0
   
Individuals or Households
 
   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 73,500 0 0 0 0 73,500
Annual IC Time Burden (Hours) 73,500 0 0 0 0 73,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.