Information Collection

Flavoring workers - Informed Consent

IC 207500 under ICR 201306-0920-011 · OMB 0920-0979.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appx G1_Consent.ENG.docx	Other-WORD
Appx G2_Consent.SPAN.docx	Other-WORD
Appx H3_Flav_Announcement.ENG.docx Appx H3_Flav_Announcement	IC Document
Appx H4_Flav_Announcement.SPAN.docx Appx H4_Flav_Announcement	IC Document
Appx I3_Flav_InfoFactSheet.ENG.docx Appx I3_Flav_InfoFactSheet	IC Document
Appx I4_Flav_Info Fact Sheet.SPAN.docx Appx I4_Flav_Info Fact Sheet	IC Document

IC Title:

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
Other-WORD			Appx G1_Consent.ENG.docx		No	No	Fillable Printable
Other-WORD			Appx G2_Consent.SPAN.docx		No	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title: 09-20-0147 Occupatinal Health Epidemiological Studies

FR Citation: 51 FR 42449

Number of Respondents: 56

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	56	56
Annual IC Time Burden (Hours)	9	9
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appx H3_Flav_Announcement	Appx H3_Flav_Announcement.ENG.docx	06/21/2013
Appx H4_Flav_Announcement	Appx H4_Flav_Announcement.SPAN.docx	06/21/2013
Appx I3_Flav_InfoFactSheet	Appx I3_Flav_InfoFactSheet.ENG.docx	06/21/2013
Appx I4_Flav_Info Fact Sheet	Appx I4_Flav_Info Fact Sheet.SPAN.docx	06/21/2013

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