Information Collection

Be Food Safe Campaign Pilot Survey

IC 191391 under ICR 200911-0583-003 · OMB 0583-0145.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
USDA_Be_Food_Safe_Survey_11-10-09.doc	Other-Survey
USDA SPA_Be_Food_Safe_Survey_11-10-09 (2).doc	Other-Survey

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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-Survey			USDA_Be_Food_Safe_Survey_11-10-09.doc		No		Paper Only
Other-Survey			USDA SPA_Be_Food_Safe_Survey_11-10-09 (2).doc		No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 800

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	800	800
Annual IC Time Burden (Hours)	88	88
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.