Information Collection

Survey

IC 202127 under ICR 201205-0910-001 · OMB 0910-0735.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Consumer Responses to Labeling Statements on Food Packages Survey 120303.doc	Other-Consumer Survey
Appendix D - examples of labels.pdf	Other-Appendix D
Appendix E - examples of Nutrition Facts label.pdf	Other-Appendix E
Appendix F - product characteristics 030312.doc	Other-Appendix F

IC Title:

Survey

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?	Can Be Submitted Electronically?	Electronic Capability
Other-Consumer Survey	Consumer Responses to Labeling Statements on Food Packages Survey 120303.doc	Yes	Yes	Fillable Fileable Signable
Other-Appendix D	Appendix D - examples of labels.pdf	Yes	Yes	Fillable Fileable Signable
Other-Appendix E	Appendix E - examples of Nutrition Facts label.pdf	Yes	Yes	Fillable Fileable Signable
Other-Appendix F	Appendix F - product characteristics 030312.doc	Yes	Yes	Fillable Fileable Signable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	1,000	1,000
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.