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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.