Information Collection

Survey

IC 204882 under ICR 201211-0910-006 · OMB 0910-0747.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0747 can be found here:

Documents and Forms

Document Name Document Type
whole grain survey.doc Other-Survey
test graphics.pdf test graphics IC Document

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			whole grain survey.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,700	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,700	2,700
Annual IC Time Burden (Hours)	675	675
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
test graphics	test graphics.pdf	11/15/2012

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