2012 Survey of Income and Program Participation Event History Calendar (SIPP-EHC) Field Test

⚠️ Notice: This information collection may be referencing outdated material.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 2012 SIPP-EHC Item 2012 Survey of Income and Program Participation Event History Calendar (SIPP-EHC) Field Test Form
attachment b sipp-ehc-105(l)2012.docx Other-Director's Letter
attachment c sipp-ehc-105(l)(sp)2012.docx Other-Director's Letter (Spanish)
Attachment D Respondent Rules.pdf Other-Respondent Rules
Attachment E SIPP-EHC-4006A (2012) You Rep Brochure.pdf Other-Brochure "SIPP You Represent Y
2012 SIPP-EHC Item 2012 SIPP-EHC Items Booklet Attachment A 2012 SIPP-EHC Field Test Items Booklet.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	2012 Survey of Income and Program Participation Event History Calendar (SIPP-EHC) Field Test	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	2012 SIPP-EHC Items Booklet	2012 SIPP-EHC Items Booklet	Attachment A 2012 SIPP-EHC Field Test Items Booklet.docx	Yes	Yes	Fillable Fileable
Other-Director's Letter			attachment b sipp-ehc-105(l)2012.docx	Yes	Yes	Fillable Fileable
Other-Director's Letter (Spanish)			attachment c sipp-ehc-105(l)(sp)2012.docx	Yes	Yes	Fillable Fileable
Other-Respondent Rules			Attachment D Respondent Rules.pdf	Yes	Yes	Fillable Fileable
Other-Brochure "SIPP You Represent Your Nation"			Attachment E SIPP-EHC-4006A (2012) You Rep Brochure.pdf	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: 5,460	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	Previously Approved
Annual Number of Responses for this IC	5,460	-2,210	7,670
Annual IC Time Burden (Hours)	5,460	-221	5,681
Annual IC Cost Burden (Dollars)	0	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.