Information Collection

2011 Field Test of the Re-engineered Survey of Income and Program Participation

IC 190057 under ICR 201009-0607-002 · OMB 0607-0957.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0957 can be found here:

Documents and Forms

Document Name Document Type
Form 2011 Re-Engineered 2011 Field Test of the Re-engineered Survey of Income and Program Participation Form
sipp105ldr2010.pdf Other-Director's Letter
sipp105lspdr2010.pdf Other-Director's Letter (Spanish)
sipp106ldr.pdf Other-Change of Address Letter With
sipp107ldr.pdf Other-Change of Address Letter Witho
Change Of Address Form - Attachment F.docx Other-Change of Address Card
SIPP Brochure SIPP-4006A_2011 Attachment G.pdf Other-SIPP Brochure
Respondent Rules Attachment H.pdf Instruction
2011 Re-Engineered 2011 Re-Engineered SIPP Items Booklet 2011 ReSIPP Items Booklet.docx Form

Information Collection (IC) Details

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	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

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 Agency Discretion
Annual Number of Responses for this IC	7,670	7,670
Annual IC Time Burden (Hours)	5,681	5,681
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.