Information Collection

Pretest

IC 208380 under ICR 201308-0910-006 · OMB 0910-0763.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Fortified Foods Study Questionnairre 6 MAR 2014.doc	Other-Study Questionairre
Appendix F Fortification Study Sample of Food Packages.pdf	Other-Study Sample of Food Packages

IC Title:

Pretest

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-Study Questionairre					Yes	Yes	Fillable Fileable
Other-Study Sample of Food Packages					Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

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	400	400
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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