Information Collection

FM Manager (for & not-for-profit), Farms (Direct Mkting)

IC 198678 under ICR 201207-0584-001 · OMB 0584-0564.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
FM Appendix A1 Introductory Survey Participant Letter.11-7-13.Eng.docx Other-Intro letter
FM Appendix A2 Introductory Survey Participant Letter.11-7-13.Span.docx Other-Intro letter - Spanish
FM Appendix B1 FM manager survey 11-7-13.Eng.docx Other-FM Survey questionnaire
FM Appendix B3 FM manager survey 11-7-13_v4 Span.doc Other-FM Survey Questionnaire - Span
FM Appendix B5 FM Manager survey screen shots 11-7-13.pdf Other-FM Survey questionnaire screen
FM Appendix C1 Introductory Survey Participant Email 11-7-13.Eng.docx Other-Introductory e-mail
FM Appendix C2 Introductory Survey Participant Email 11-7-13 Span.docx Other-Introductory e-mail - Spanish
FM Appendix D1 One week reminder postcard 11--7-13.Eng.doc Other-Reminder postcard (1 week)
FM Appendix D2 One week reminder postcard 11-7-13.Span.doc Other-Reminder postcard (1 week) - S
FM Appendix D3 Two week reminder postcard 11-7-13.Eng.doc Other-Reminder postcard (2 weeks)
FM Appendix D4 Two week reminder postcard 11-7-13.Span.doc Other-Reminder postcard (2 weeks) -
FM Appendix E1 Telephone script_11-7-13.Eng.doc Other-Telephone survey script
FM Appendix E2 Telephone Script_11-7-13.Span.docx Other-Telephone survey script - Span
FM Appendix E3 Refusal strategy and script 11-7-13.Eng.doc Other-Refusal conversion script
FM Appendix E4 Refusal strategy and script 11-7.13.Span.doc Other-Refusal conversion script - Sp
FM Appendix B2 direct farmer Survey 11-7-13.Eng.doc Other-DF Survey Instrument
FM Appendix B4 direct farmer Survey 11-7-13_v6 Span.docx Other-DF Survey Instrument
FM Appendix B6 DM farmersurvey screen shots 11-7-13.pdf Other-DF Screen shot of Farmer Surve

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-Intro letter FM Appendix A1 Introductory Survey Participant Letter.11-7-13.Eng.docx Yes Yes Paper Only
Other-Intro letter - Spanish FM Appendix A2 Introductory Survey Participant Letter.11-7-13.Span.docx Yes Yes Paper Only
Other-FM Survey questionnaire FM Appendix B1 FM manager survey 11-7-13.Eng.docx Yes Yes Fillable Fileable
Other-FM Survey Questionnaire - Spanish FM Appendix B3 FM manager survey 11-7-13_v4 Span.doc Yes Yes Fillable Fileable
Other-FM Survey questionnaire screenshot FM Appendix B5 FM Manager survey screen shots 11-7-13.pdf Yes Yes Fillable Fileable
Other-Introductory e-mail FM Appendix C1 Introductory Survey Participant Email 11-7-13.Eng.docx Yes Yes Printable Only
Other-Introductory e-mail - Spanish FM Appendix C2 Introductory Survey Participant Email 11-7-13 Span.docx Yes Yes Printable Only
Other-Reminder postcard (1 week) FM Appendix D1 One week reminder postcard 11--7-13.Eng.doc Yes Yes Paper Only
Other-Reminder postcard (1 week) - Spanish FM Appendix D2 One week reminder postcard 11-7-13.Span.doc Yes Yes Paper Only
Other-Reminder postcard (2 weeks) FM Appendix D3 Two week reminder postcard 11-7-13.Eng.doc Yes Yes Paper Only
Other-Reminder postcard (2 weeks) - Spanish FM Appendix D4 Two week reminder postcard 11-7-13.Span.doc Yes Yes Paper Only
Other-Telephone survey script FM Appendix E1 Telephone script_11-7-13.Eng.doc Yes Yes Printable Only
Other-Telephone survey script - Spanish FM Appendix E2 Telephone Script_11-7-13.Span.docx Yes Yes Printable Only
Other-Refusal conversion script FM Appendix E3 Refusal strategy and script 11-7-13.Eng.doc Yes Yes Printable Only
Other-Refusal conversion script - Spanish FM Appendix E4 Refusal strategy and script 11-7.13.Span.doc Yes Yes Printable Only
Other-DF Survey Instrument FM Appendix B2 direct farmer Survey 11-7-13.Eng.doc Yes Yes Fillable Fileable
Other-DF Survey Instrument FM Appendix B4 direct farmer Survey 11-7-13_v6 Span.docx Yes Yes Fillable Fileable
Other-DF Screen shot of Farmer Survey FM Appendix B6 DM farmersurvey screen shots 11-7-13.pdf Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


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 2,236 0 0 0 0 2,236
Annual IC Time Burden (Hours) 16,764 0 0 0 0 16,764
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.