Survey of Income and Program Participation (SIPP) for SSA Beneficiaries

ICR 200411-0960-002

OMB: 0960-0656

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0960-0656 200411-0960-002
Historical Active 200208-0960-004
SSA
Survey of Income and Program Participation (SIPP) for SSA Beneficiaries
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 12/06/2004
Retrieve Notice of Action (NOA) 11/03/2004
  Inventory as of this Action Requested Previously Approved
12/31/2007 12/31/2007
4,200 0 0
3,150 0 0
0 0 0

SSA has requested the Census Bureau to include in its SIPP interviews Social Security disabled insurance beneficiaries and SSI recipients. SSA will use these data to conduct statistical research of recipients of SSA-administered programs. The SIPP for SSA Beneficiaries is a household- bassed survey molded around a central "core" of labor force questions and supplemented with questions designed to address specific needs, such as obtaining information about assets and liabilities, work-related expenses, health care and child support.

None
None


No

1
IC Title Form No. Form Name
Survey of Income and Program Participation (SIPP) for SSA Beneficiaries

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,200 0 0 4,200 0 0
Annual Time Burden (Hours) 3,150 0 0 3,150 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/03/2004


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