2012 SIPP CARI Field Test

2012 Survey of Income and Program Participation Computer Audio Recorded Interviewing Field Test

Documents and Forms

Document Name Document Type
Attachment A 2012 SIPP CARI, Selected Questions for Audio Recording.docx Other-2012 SIPP CARI Selected Questi
Attachment B 2012 SIPP CARI Instrument Booklet, Entire Interview.docx Other-2012 SIPP CARI Entire Intervie
Attachment C SIPP-CARI-105(L)(DR) 2012 ENGLISH letter.docx Other-2012 SIPP CARI Director's Lett
Attachment D SIPP-CARI-105(L)(SP)(DR)2012 SPANISH letter.docx Other-2012 SIPP CARI Director's Lett
Attachment E Respondent Rules.pdf Other-Respondent Rules
Attachment F SIPP-EHC-4006A (2012) You Rep Brochure.pdf Other-Brochuere: "SIPP You Represent

Information Collection (IC) Details

IC Title:	2012 SIPP CARI Field Test	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-2012 SIPP CARI Selected Questions for Audio Recording	Attachment A 2012 SIPP CARI, Selected Questions for Audio Recording.docx	Yes	Yes	Fillable Fileable
Other-2012 SIPP CARI Entire Interview Script	Attachment B 2012 SIPP CARI Instrument Booklet, Entire Interview.docx	Yes	Yes	Fillable Fileable
Other-2012 SIPP CARI Director's Letter	Attachment C SIPP-CARI-105(L)(DR) 2012 ENGLISH letter.docx	Yes	Yes	Fillable Fileable
Other-2012 SIPP CARI Director's Letter (Spanish)	Attachment D SIPP-CARI-105(L)(SP)(DR)2012 SPANISH letter.docx	Yes	Yes	Fillable Fileable
Other-Respondent Rules	Attachment E Respondent Rules.pdf	Yes	Yes	Fillable Fileable
Other-Brochuere: "SIPP You Represent Your Nation"	Attachment F 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: 1,890	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	1,890	1,890
Annual IC Time Burden (Hours)	1,890	1,890
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.