Information Collection

Making Ends Meet Survey

IC 234827 under ICR 201506-3170-003 · OMB 3170-0066.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
MEM_full_v7-12-2018_OMB.pdf Other-MEM Survey
MEM_followup_v2-21-2018 OMB.pdf Other-MEM Follow-up
MEM_full_v3-15-2019_to_OMB - revised 04232019.DOCX Other-MEM Survey - Revised 4/2019
3170-0066 - Generic IC Template - MEM_10.05.18 OMB.pdf
MEMIC Template
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-MEM Survey - Revised 4/2019 MEM_full_v3-15-2019_to_OMB - revised 04232019.DOCX Yes Yes Fillable Fileable
Other-MEM Survey MEM_full_v7-12-2018_OMB.pdf Yes Yes Fillable Fileable
Other-MEM Follow-up MEM_followup_v2-21-2018 OMB.pdf Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,200 0 3,200 0 0 0
Annual IC Time Burden (Hours) 1,600 0 1,600 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
MEMIC Template 3170-0066 - Generic IC Template - MEM_10.05.18 OMB.pdf 02/04/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.