Information Collection

Frozen Berries Recall - Link to Hepatitis A

IC 207243 under ICR 201106-0910-007 · OMB 0910-0711.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0711 Frozen Berry Screener.doc	Other-Survey Screening Instrument
0711 Frozen Berry Recall Questionairre.doc	Other-Recall Questionnaire/Survey
0711 Frozen Berry Recall Supporting Memo.doc	Other-Survey Request Memorandum

IC Title:

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Screening Instrument	Yes	Yes	Fillable Fileable
Other-Recall Questionnaire/Survey	Yes	Yes	Fillable Fileable
Other-Survey Request Memorandum	Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,000

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 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	10,000	0	0	0	0	0
Annual IC Time Burden (Hours)	1,725	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	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.

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