2013 Survey of Income and Program Participation Event History Calendar (SIPP-EHC) Field Test

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SIPP EHC FORM Part 2013 Survey of Income and Program Participation Event History Calendar (SIPP-EHC) Field Test	Form	Modified	Available
Response_OMB_Questions_on_2013_SIPP-EHC.doc	Supplementary Document	Uploaded 2012-11-30	Available
2013 SIPP-EHC Section B.docx	Supporting Statement B	Uploaded 2012-08-24	Available
2013 SIPP-EHC Section A.docx	Supporting Statement A	Uploaded 2012-08-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
190057	2013 Survey of Income and Program Participation Event History Calendar (SIPP-EHC) Field Test	Form	Modified

ICR Details

OMB Control No: 0607-0957	ICR Reference No: 201208-0607-004
Status: Historical Active	Previous ICR Reference No: 201108-0607-005
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: 2013 Survey of Income and Program Participation Event History Calendar (SIPP-EHC) Field Test
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/30/2012
	Date Received in OIRA: 09/06/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2013	12/31/2013	12/31/2012
Responses	6,300	0	5,460
Time Burden (Hours)	6,300	0	5,460
Cost Burden (Dollars)	0	0	0

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Abstract: This survey will provide improved statistics for the executive and legislative branches on income distribution and data not previously available on eligibility for and participation in government programs. Changes in status and participation will be measured over time. These data will support policy and program planning. All people 15 years old or older in sample households are interviewed.

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Authorizing Statute(s): US Code: 13 USC 182 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 34338	06/11/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 54885	09/06/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
2013 Survey of Income and Program Participation Event History Calendar (SIPP-EHC) Field Test	SIPP EHC FORM Part 1, SIPP EHC FORM Part 2 (EHC Items)	SIPP EHC FORM Part 1 ,   SIPP EHC FORM Part 2 (EHC Items)

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	6,300	5,460	0	840	0	0
Annual Time Burden (Hours)	6,300	5,460	0	840	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Burden increase due to an increase in the munber of respondents.

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Annual Cost to Federal Government: $9,000,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/06/2012

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