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Food Safety Survey: Non-response survey
Food Safety Survey
OMB: 0910-0345
IC ID: 213925
OMB.report
HHS/FDA
OMB 0910-0345
ICR 201411-0910-009
IC 213925
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0345 can be found here:
2018-09-11 - Reinstatement with change of a previously approved collection
2017-12-28 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Appendix A Questionnaire 11 25 14.doc
Other-Questionnaire
Attachement B 11 25 14.doc
Other-Letter to respondent
Attachment C 11 25 14.doc
Other-Non response letter
Attachment D 11 25 14.doc
Other-Non response questionnaire
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Food Safety Survey: Non-response survey
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Questionnaire
Appendix A Questionnaire 11 25 14.doc
Yes
Yes
Fillable Fileable
Other-Letter to respondent
Attachement B 11 25 14.doc
No
Paper Only
Other-Non response letter
Attachment C 11 25 14.doc
No
Paper Only
Other-Non response questionnaire
Attachment D 11 25 14.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
50
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
50
0
50
0
0
0
Annual IC Time Burden (Hours)
8
0
8
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.