Information Collection

Creative Concept Refinement Research

IC 196436 under ICR 201102-0583-003 · OMB 0583-0147.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
02282011 FoodSafety_CommChecks_Guide_to sponsor.docx	Other-moderator's guide
02092011Food Safety_GM_Screener_final.docx	Other-screener
02092011Food Safety_HISP_Screener.docx	Other-screener

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	Instrument File	Available Electronically?	Electronic Capability
Other-moderator's guide	02282011 FoodSafety_CommChecks_Guide_to sponsor.docx	No	Paper Only
Other-screener	02092011Food Safety_GM_Screener_final.docx	No	Paper Only
Other-screener	02092011Food Safety_HISP_Screener.docx	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 36

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	72	72
Annual IC Time Burden (Hours)	57	57
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.