Be Food Safe Campaign Pilot Survey

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Be Food Safe Campaign Pilot Survey	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			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 %

	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

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.