Information Collection

2004 Panel of the Survey of Income and Program Participation Waves 10, 11, & 12

IC 37227 under ICR 200701-0607-001 · OMB 0607-0905.

Documents and Forms

Document Name Document Type
Form SIPP Core Items Bo 2004 Panel of the Survey of Income and Program Participation Waves 10, 11, & 12 Form
AttA-241005(L).pdf Other-Director's Letter
AttB-sipp24003.pdf Other-Reminder Card
SIPP Core Items Bo SIPP Core Items Booklet AttA-Wave 1 Core Items Bklt.pdf Form
SIPP Core Items Bo SIPP Core Items Booklet Index AttA-Wave 1 Core Items Bklt_Index.pdf Form
SIPP Core Items Bo SIPP Core Items Booklet Table of Contents AttA-Wave 1 Core Items Bklt_TOC.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	2004 Panel of the Survey of Income and Program Participation Waves 10, 11, & 12	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form	SIPP Core Items Booklet	SIPP Core Items Booklet	AttA-Wave 1 Core Items Bklt.pdf	Yes	Yes	Fillable Fileable
Form	SIPP Core Items Booklet Index	SIPP Core Items Booklet Index	AttA-Wave 1 Core Items Bklt_Index.pdf	Yes	Yes	Fillable Fileable
Other-Director's Letter			AttA-241005(L).pdf	No		Paper Only
Other-Reminder Card			AttB-sipp24003.pdf	No		Paper Only
Form	SIPP Core Items Booklet Table of Contents	SIPP Core Items Booklet Table of Contents	AttA-Wave 1 Core Items Bklt_TOC.pdf	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 44,713	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	Previously Approved
Annual Number of Responses for this IC	137,331	-164,919	302,250
Annual IC Time Burden (Hours)	44,799	-103,229	148,028
Annual IC Cost Burden (Dollars)	0	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.