Information Collection

Phase III CATI v. 2 Instrument for Agricultural Health Study

IC 7302 under ICR 201002-0925-001 · OMB 0925-0406.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0406 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Phase III CATI v. 2 Instrument for Agricultural Health Study	Form
1 Phase III CATI v. 2 for AHS Attach 2_CATI Phase III v2.doc	Form

IC Title:

Phase III CATI v. 2 Instrument for Agricultural Health Study

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	1	Phase III CATI v. 2 for AHS	Attach 2_CATI Phase III v2.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20,582

Number of Respondents for Small Entity: 20,582

Affected Public: Private Sector

Private Sector: Farms

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	6,530	6,530
Annual IC Time Burden (Hours)	3,809	3,809
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.