Information Collection

Industry

IC 217638 under ICR 201507-0579-003 · OMB 0579-0436.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Industry Fall HPAI_SurveyMonkey 8-3-15.pdf to be determined	Other-survey
Industry Sample Email.docx Industry Email	IC Document

IC Title:

Industry

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 9 CFR 1-199 (To search for a specific CFR, visit the Code of Federal Regulations.)

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-survey			Industry Fall HPAI_SurveyMonkey 8-3-15.pdf	to be determined	Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 25

Affected Public: Private Sector

Private Sector: Farms, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Industry Email	Industry Sample Email.docx	08/04/2015

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