2012 Survey of Income and Program Participation Event History Calendar (SIPP-EHC) Field Test

Forms and Documents

Document Name	Status
Form 2012 SIPP-EHC Item 2012 Survey of Income and Program Participation Event History Calendar (SIPP-EHC) Field Test Form	Modified
11.14.11 REVISED 2012 SIPP-EHC Section B .docx Supporting Statement B	2011-11-15
11.14.11 REVISED 2012 SIPP-EHC Section A.docx Supporting Statement A	2011-11-15

IC Document Collections

IC ID	Document Title	Status
190057	2012 Survey of Income and Program Participation Event History Calendar (SIPP-EHC) Field Test Form	Modified

ICR Details

OMB Control No: 0607-0957	ICR Reference No: 201108-0607-005
Status: Historical Active	Previous ICR Reference No: 201009-0607-002
Agency/Subagency: DOC/CENSUS	Agency Tracking No:
Title: 2012 Survey of Income and Program Participation Event History Calendar (SIPP-EHC) Field Test
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: 11/16/2011
	Date Received in OIRA: 08/19/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2012	12/31/2012	12/31/2011
Responses	5,460	0	7,670
Time Burden (Hours)	5,460	0	5,681
Cost Burden (Dollars)	0	0	0

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Abstract: This survey will provide improved statistics for the executive and legislative branches on income distribution and data not previously available on eligibility for and 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.

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

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 22364	04/21/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 51939	08/19/2011
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
2012 Survey of Income and Program Participation Event History Calendar (SIPP-EHC) Field Test	2012 SIPP-EHC Items Booklet	2012 SIPP-EHC Items Booklet

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ICR Summary 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	5,460	7,670	0	-2,210	0	0
Annual Time Burden (Hours)	5,460	5,681	0	-221	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The 2012 SIPP-EHC Field Test is submitted as a revision to decrease burden by 221 hours. The decrease in burden hours is due to a slightly lower sample size and the 2012 test does not include the Recontact Experiment done in 2011.

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Annual Cost to Federal Government: $9,000,000

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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? Uncollected

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Common Form ICR:  No

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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: 08/19/2011

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