Information Collection

Mink Survey

IC 1135 under ICR 200704-0535-001 · OMB 0535-0212.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0535-0212 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 110083 Mink Survey	Form and Instruction
110083 Updated 2007 Mink questionnaire 0212-mink-07-Q.doc	Form and Instruction
110083 2006 Mink questionnaire 0212-mink-06-Q.doc	Form and Instruction
0212-mink-07-chg.doc Justification for Mink Survey Change Worksheet	IC Document

IC Title:

Mink Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form and Instruction	110083	Updated 2007 Mink questionnaire	0212-mink-07-Q.doc		No		Paper Only
Form and Instruction	110083	2006 Mink questionnaire	0212-mink-06-Q.doc		No		Paper Only

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 337

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 1 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	337	337
Annual IC Time Burden (Hours)	54	54
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for Mink Survey Change Worksheet	0212-mink-07-chg.doc	04/10/2007

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