Information Collection

Phase II- 2015 Fishing Season: Fishing for Facts: A Survey of Fisherman's Opinions

IC 184925 under ICR 201403-0920-008 · OMB 0920-0787.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att 6_Survey Inst.docx	Other-WORD
Att 5_Informed Consent.docx Att 5_Informed Consent	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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			Att 6_Survey Inst.docx		No	No	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title: Occupational Health Epidemiological Studies, HHS/CDC/NIOSH

FR Citation: 68 FR 55962

Number of Respondents: 200

Number of Respondents for Small Entity: 200

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	200	200
Annual IC Time Burden (Hours)	67	67
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att 5_Informed Consent	Att 5_Informed Consent.docx	03/11/2014

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