Information Collection

Traditional Foods Shared Data Elements

IC 197195 under ICR 201210-0920-012 · OMB 0920-0889.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0889 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Traditional Foods Shared Data Elements	Form
Traditional Foods SDE Reporting Att 4a (rev) Traditional Foods SDE Oct 2012.pdf	Form
Att 4c. Email with Link to SDE.doc Att 4c - Email with SDE link	IC Document
Att 4b. Partner Notification-Shared Data Elements.doc Att 4b - Partner notification data elements	IC Document

IC Title:

Traditional Foods Shared Data Elements

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	none	Traditional Foods SDE Reporting	Att 4a (rev) Traditional Foods SDE Oct 2012.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	34	34
Annual IC Time Burden (Hours)	68	68
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att 4c - Email with SDE link	Att 4c. Email with Link to SDE.doc	03/23/2011
Att 4b - Partner notification data elements	Att 4b. Partner Notification-Shared Data Elements.doc	03/23/2011

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