Information Collection

Survey of Food Safety and Nutrition Information Provided to Pregnant Women by Health Care Providers and WIC Educators

IC 179625 under ICR 200704-0910-001 · OMB 0910-0617.

Documents and Forms

Document Name Document Type
HCP food safety draft survey instrument 3-19-07.doc Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Survey of Food Safety and Nutrition Information Provided to Pregnant Women by Health Care Providers and WIC Educators	Agency IC Tracking Number:

Is this a Common Form? No		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-Survey			HCP food safety draft survey instrument 3-19-07.doc		No	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 16	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	16	16
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	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.