2021 Survey of Income and Program Participation Panel

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
SIPP 2021 Questionnaire Changes_Census_12302020.docx	Supplementary Document	Uploaded 2020-12-30	Available
SIPP_30dayFRN_final.docx	Supplementary Document	Uploaded 2020-11-02	Repair queued
SIPP_AttachmentI_Postcard_091720.pdf	Supplementary Document	Uploaded 2020-11-02	Available
SIPP_AttachmentH_EmploymentandLaborForce_Brochure_091720.pdf	Supplementary Document	Uploaded 2020-11-02	Available
SIPP_AttachmentG_Families Brochure_091720.pdf	Supplementary Document	Uploaded 2020-11-02	Available
SIPP_AttachmentF_HealthCoverageandDisability_Brochure_091720.pdf	Supplementary Document	Uploaded 2020-11-02	Available
SIPP_AttachmentE_Factsheet_091720.pdf	Supplementary Document	Uploaded 2020-11-02	Available
SIPP_AttachmentD_ThankYou_Letter_091720.pdf	Supplementary Document	Uploaded 2020-11-02	Available
SIPP_AttachmentD_ThankYou_Letter_091720.pdf	Supplementary Document	Uploaded 2020-11-02	Available
SIPP_AttachmentB_W1_Letter_091720.pdf	Supplementary Document	Uploaded 2020-11-02	Available
SIPP_AttachmentA_Intrument_Booklet_Questionnaire_092920.pdf	Supplementary Document	Uploaded 2020-11-02	Available
SIPP_SupportingStatementB_OMB_Census_12302020.docx	Supporting Statement B	Uploaded 2020-12-30	Available
SIPP_SupportingStatementA_OMB_Census_12302020.docx	Supporting Statement A	Uploaded 2020-12-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
228384	2021 Survey of Income and Program Participation Panel	Other-SIPP Items Booklet Questionnaire	Modified

ICR Details

OMB Control No: 0607-1000	ICR Reference No: 202010-0607-004
Status: Active	Previous ICR Reference No: 201811-0607-006
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: 2021 Survey of Income and Program Participation Panel
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: 12/30/2020
	Date Received in OIRA: 11/03/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2023	36 Months From Approved	12/31/2020
Responses	70,560	0	66,800
Time Burden (Hours)	74,088	0	66,800
Cost Burden (Dollars)	2,072,347	0	0

---

Abstract: The SIPP collects information about a variety of topics including demographics, household composition, education, nativity and citizenship, health insurance coverage, Medicaid, Medicare, employment and earnings, unemployment insurance, assets, child support, disability, housing subsidies, migration, Old-Age Survivors and Disability Insurance (OASDI), poverty, and participation in various government programs like Supplemental Nutrition Assistance Program (SNAP), Supplemental Security Income (SSI), and Temporary Assistance for Needy Families (TANF). The SIPP sample is nationally representative, with an oversample of low-income areas, in order to increase the ability to measure 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.

---

Authorizing Statute(s): US Code: 13 USC 141 and 182 Name of Law: null
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 29924	05/19/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 68839	10/30/2020
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
2021 Survey of Income and Program Participation Panel

---

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	70,560	66,800	0	3,760	0	0
Annual Time Burden (Hours)	74,088	66,800	0	7,288	0	0
Annual Cost Burden (Dollars)	2,072,347	0	0	2,072,347	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: Increase is due to sample size and questionnaire differences.

---

Annual Cost to Federal Government: $34,450,000

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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? No

---

Common Form ICR:  No

---

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: 11/03/2020

---