Information Collection

Draft Paper Questionnaire

IC 191592 under ICR 201003-0910-001 · OMB 0910-0656.

Documents and Forms

Document Name Document Type
GF Paper Expeiment Questionnaire Rev. 12-14-09.docm Other-Questionnaire

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Draft Paper Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-Questionnaire			GF Paper Expeiment Questionnaire Rev. 12-14-09.docm		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	66	66
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.