Information Collection

Addition of 2008 Tax Rebate Questions & Replacement of Health Insurance Questions

IC 184836 under ICR 200805-0607-001 · OMB 0607-0944.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0944 can be found here:

Documents and Forms

Document Name Document Type
new & replacement questions.wpd Other-New Tax Rebate & Replacement H
SIPP-28004_1.pdf Other-Flashcards

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Addition of 2008 Tax Rebate Questions & Replacement of Health Insurance Questions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Other-New Tax Rebate & Replacement Health Insurance Questions			new & replacement questions.wpd		Yes	Yes	Fillable Fileable
Other-Flashcards			SIPP-28004_1.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 94,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	189,000	189,000
Annual IC Time Burden (Hours)	3,150	3,150
Annual IC Cost Burden (Dollars)	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.