Information Collection

CROPS by Farmers and Manufacturers (Observer Pretest)

IC 192708 under ICR 201004-0920-010 · OMB 0920-0854.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CROPS_Appx C.2a_Observer Pretest.doc	Other-CROPS Observer Pretest
CROPS_Appx F2_ Observers Consent.doc Observers Informed Consent	IC Document

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-CROPS Observer Pretest			CROPS_Appx C.2a_Observer Pretest.doc		Yes	Yes	Fillable Printable

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: 170

Number of Respondents for Small Entity: 170

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms

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	170	170
Annual IC Time Burden (Hours)	43	43
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Observers Informed Consent	CROPS_Appx F2_ Observers Consent.doc	03/08/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.