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CROPS Demonstrators Pretest
Increasing Adoption of Cost-effective Rollover Protective Structures (CROPS) by Farmers and Manufacturers
OMB: 0920-0854
IC ID: 192705
OMB.report
HHS/CDC
OMB 0920-0854
ICR 201004-0920-010
IC 192705
( )
Documents and Forms
Document Name
Document Type
CROPS_Appx C.1a_Demonstrator PreTest.doc
Other-WORD
CROPS_Appx F1_Demonstrators Consent.doc
Demonstrator Informed Consent
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CROPS Demonstrators Pretest
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-WORD
CROPS_Appx C.1a_Demonstrator PreTest.doc
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems
FR Citation:
74 FR 48078
Number of Respondents:
30
Number of Respondents for Small Entity:
30
Affected Public:
Private Sector
Private Sector:
Farms
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
30
0
30
0
0
0
Annual IC Time Burden (Hours)
8
0
8
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Demonstrator Informed Consent
CROPS_Appx F1_Demonstrators Consent.doc
03/08/2010
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.