Information Collection

Layers 2013 Study

IC 204190 under ICR 201209-0579-004 · OMB 0579-0404.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NAHMS 299 Layers 2013 Study	Form and Instruction
NAHMS 299 Layers 2013 Questionnaire NAHMS 299.docx	Form and Instruction
NAHMS 298 Layers 2013 Producer Agreement Layers Producer Agreement Updated 03-18-13.docx	Form
presurvey letter for OMB.doc Pre-Survey Letter	IC Document
Layers2013.docx Information Sheet Explaining the Study	IC Document

IC Title:

Layers 2013 Study

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
Form and Instruction	NAHMS 299	Layers 2013 Questionnaire	NAHMS 299.docx		No		Paper Only
Form	NAHMS 298	Layers 2013 Producer Agreement	Layers Producer Agreement Updated 03-18-13.docx		No		Paper Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,008

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	1,008	1,008
Annual IC Time Burden (Hours)	756	756
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Pre-Survey Letter	presurvey letter for OMB.doc	11/13/2012
Information Sheet Explaining the Study	Layers2013.docx	11/13/2012

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