Information Collection

User Fee Website Survey

IC 213276 under ICR 201407-0910-016 · OMB 0910-0360.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0360 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
User_Fee_Survey.doc	Other-Screen shot of webste based su
User_Fee_Website_Survey.doc User Fee Website Survey Supporting Statement	IC Document

IC Title:

User Fee Website Survey

Agency IC Tracking Number:

Generic

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-Screen shot of webste based survey			User_Fee_Survey.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,400

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	1,400	1,400
Annual IC Time Burden (Hours)	112	112
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
User Fee Website Survey Supporting Statement	User_Fee_Website_Survey.doc	09/29/2014

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