Industry

Highly Pathogenic Avian Influenza - Preparedness Questionnaires

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.