Information Collection

Understanding Economic Risk for Low Income Families Survey

IC 250514 under ICR 202109-0990-009 · OMB 0990-0281.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0281 can be found here:

Documents and Forms

Document Name Document Type
Attachment A_Economic Risk Study Instrument 11-15-21.docx Other-
0990-0281 Generic economic risk 11-16-21.docx Pilot Study for Understanding Economic Risk for Low Income Families Survey - Supporting Statement - Secion A IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Understanding Economic Risk for Low Income Families Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-			Attachment A_Economic Risk Study Instrument 11-15-21.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	67	67
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Pilot Study for Understanding Economic Risk for Low Income Families Survey - Supporting Statement - Secion A	0990-0281 Generic economic risk 11-16-21.docx	11/23/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.