Information Collection

FDD Qualitative Food Survey

IC 213186 under ICR 201407-0584-002 · OMB 0584-0524.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0524 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
USDA Foods Product Feedback Survey 9 15 14.docx www.wufoo.com	Other-USDA Foods Product Feedback Su
Unseasoned Chicken Strip Evaluation Survey 9 15 14.docx www.wufoo.com	Other-Unseasoned Chicken Strip Evalu
USDA Foods Qualitative Survey - Memo & SS.docx USDA Foods Qualitative Survey - Memo & SS	IC Document

IC Title:

FDD Qualitative Food Survey

Agency IC Tracking Number:

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-USDA Foods Product Feedback Survey			USDA Foods Product Feedback Survey 9 15 14.docx	www.wufoo.com	Yes	Yes	Fillable Fileable
Other-Unseasoned Chicken Strip Evaluation Survey			Unseasoned Chicken Strip Evaluation Survey 9 15 14.docx	www.wufoo.com	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,680

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,680	4,680
Annual IC Time Burden (Hours)	1,461	1,461
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
USDA Foods Qualitative Survey - Memo & SS	USDA Foods Qualitative Survey - Memo & SS.docx	09/23/2014

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