Information Collection

2004 Panel of the Survey of Income and Program Participation Waves 10, 11, & 12

IC 37227 under ICR 200701-0607-001 · OMB 0607-0905.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SIPP Core Items Bo SIPP Core Items Booklet 2004 Panel of the Survey of Income and Program Participation Waves 10, 11, & 12	Form
Form SIPP Core Items Bo SIPP Core Items Booklet Index 2004 Panel of the Survey of Income and Program Participation Waves 10, 11, & 12	Form
Form SIPP Core Items Bo SIPP Core Items Booklet Table of Contents 2004 Panel of the Survey of Income and Program Participation Waves 10, 11, & 12	Form
AttA-241005(L).pdf	Other-Director's Letter
AttB-sipp24003.pdf	Other-Reminder Card
SIPP Core Items Bo SIPP Core Items Booklet AttA-Wave 1 Core Items Bklt.pdf	Form
SIPP Core Items Bo SIPP Core Items Booklet Index AttA-Wave 1 Core Items Bklt_Index.pdf	Form
SIPP Core Items Bo SIPP Core Items Booklet Table of Contents AttA-Wave 1 Core Items Bklt_TOC.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Director's Letter		No		Paper Only
Other-Reminder Card		No		Paper Only
Form	SIPP Core Items Booklet	Yes	Yes	Fillable Fileable
Form	SIPP Core Items Booklet Index	Yes	Yes	Fillable Fileable
Form	SIPP Core Items Booklet Table of Contents	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 44,713

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	137,331	-164,919	302,250
Annual IC Time Burden (Hours)	44,799	-103,229	148,028
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.

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