OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Survey

IC 212188 under ICR 201407-0910-002 · OMB 0910-0779.

Documents and Forms
Document Name
Document Type
Other-Survey Question Map
Other-Executive Summary of Survey Ma
Other-Survey
Other-Survey security statement
Other-Survey screenshot 1
Other-Survey screenshot 2
Other-Survey screenshot 3
Other-Survey screenshot 4
Information Collection (IC) Details

View Information Collection (IC)

Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Question Map Antiparasitic SurveyQuestionMap.docx Yes Yes Fillable Fileable
Other-Executive Summary of Survey Map Antiparasitic Mapping ExecSumm.docx Yes Yes Fillable Fileable
Other-Survey screenshot 4 Screenshot_4.PNG No   Paper Only
Other-Survey screenshot 2 Screenshot_2.PNG No   Paper Only
Other-Survey screenshot 3 Screenshot_3.PNG No   Paper Only
Other-Survey screenshot 1 Screenshot_1.PNG No   Paper Only
Other-Survey FINAL Survey PDF.pdf Yes Yes Fillable Fileable
Other-Survey security statement Security Statement _ SurveyMonkey.pdf No   Paper Only

Health Consumer Health and Safety

 

650 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 650 0 650 0 0 0
Annual IC Time Burden (Hours) 325 0 325 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.