SIPP 2014 Panel

2014 Survey of Income and Program Participation (SIPP) Panel

OMB: 0607-0977

IC ID: 208349

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0977 can be found here:

2016-09-13 - Extension without change of a currently approved collection

Documents and Forms

Document Name Document Type
B-SIPP-105(L1)(2014) Attachment B.pdf Other-SIPP-105(L1)2014–Director's Le
C-SIPP-105(L1)(SP)(2014) Attachment C.pdf Other-SIPP-105(L1)(SP)2014–Spanish D
SIPP-105(L2)(2014) revised incentive statement.pdf Other-SIPP-105(L2)2014–Director's Le
SIPP-105(L3)(2014) revised incentive statement.pdf Other-SIPP-105(L3)2014–Director's Le
F-SIPP Respondent Rules - Attachment F.pdf Other-Respondent Rules
G-SIPP Respondent Rules - Attachment G (Spanish).pdf Other-Respondent Rules (Spanish)
H-SIPP 101_Factsheet [Attachment H].pdf Other-SIPP Fact Sheet
I-SIPP_Health Insurance_Brochure Attachment I.pdf Other-SIPP Brochure: Health Insuranc
J-SIPP_Families with Children Brochure Attachment J.pdf Other-SIPP Brochure: Families with C
K-SIPP_Labor Force_Brochure Attachment K.pdf Other-SIPP Brochure: Labor Force and
L-SIPP in the News_Attachment L.pub Other-SIPP In the News
M-sipp_inf1_2014 Attachment M.pdf Other-SIPP-INF1-2014 Incentive Flyer
N-sipp_inf2_2014 - Attachment N.pdf Other-SIPP-INF2-2014 Incentive Flyer
O-sipp_pin_2014 Attachment O.pdf Other-SIPP PIN letter
Items Booklet Items Booklet A-2014 SIPP Items Booklet - Attachment A Part 1.pdf Form
EHC EHC A-2014 SIPP Items Booklet - Attachment A Part 2 (EHC).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SIPP 2014 Panel	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-SIPP-105(L2)2014–Director's Letter with $20 incentive			SIPP-105(L2)(2014) revised incentive statement.pdf	Yes	Yes	Fillable Fileable
Other-SIPP-105(L3)2014–Director's Letter with $40 incentive			SIPP-105(L3)(2014) revised incentive statement.pdf	Yes	Yes	Fillable Fileable
Form	Items Booklet	Items Booklet	A-2014 SIPP Items Booklet - Attachment A Part 1.pdf	Yes	Yes	Fillable Fileable
Form	EHC	EHC	A-2014 SIPP Items Booklet - Attachment A Part 2 (EHC).pdf	Yes	Yes	Fillable Fileable
Other-SIPP-105(L1)2014–Director's Letter			B-SIPP-105(L1)(2014) Attachment B.pdf	Yes	Yes	Fillable Fileable
Other-SIPP-105(L1)(SP)2014–Spanish Director's Letter			C-SIPP-105(L1)(SP)(2014) Attachment C.pdf	Yes	Yes	Fillable Fileable
Other-Respondent Rules			F-SIPP Respondent Rules - Attachment F.pdf	Yes	Yes	Fillable Fileable
Other-Respondent Rules (Spanish)			G-SIPP Respondent Rules - Attachment G (Spanish).pdf	Yes	Yes	Fillable Fileable
Other-SIPP Fact Sheet			H-SIPP 101_Factsheet [Attachment H].pdf	Yes	Yes	Fillable Fileable
Other-SIPP Brochure: Health Insurance			I-SIPP_Health Insurance_Brochure Attachment I.pdf	Yes	Yes	Fillable Fileable
Other-SIPP Brochure: Families with Children			J-SIPP_Families with Children Brochure Attachment J.pdf	Yes	Yes	Fillable Fileable
Other-SIPP Brochure: Labor Force and Employment			K-SIPP_Labor Force_Brochure Attachment K.pdf	Yes	Yes	Fillable Fileable
Other-SIPP In the News			L-SIPP in the News_Attachment L.pub	Yes	Yes	Fillable Fileable
Other-SIPP-INF1-2014 Incentive Flyer for Director’s Letter $40			M-sipp_inf1_2014 Attachment M.pdf	Yes	Yes	Fillable Fileable
Other-SIPP-INF2-2014 Incentive Flyer for Director’s Letter $20			N-sipp_inf2_2014 - Attachment N.pdf	Yes	Yes	Fillable Fileable
Other-SIPP PIN letter			O-sipp_pin_2014 Attachment O.pdf	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 73,500	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	73,500	73,500
Annual IC Time Burden (Hours)	73,500	73,500
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.