Information Collection

2017 Agricultural Shipper Needs Survey -

IC 228532 under ICR 201512-0710-002 · OMB 0710-0018.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 1 - Ag Survey Mail questionaire.docx	Other-Questionaire
Attachment 2 - Ag Shipper survey web screenshots.docx	Other-Electronic Questionaire
Attachment 3 - Ag shipper survey web survey questions flow and logic 7-18-2017.docx Logic for Web Questionaire	IC Document
Attachment 4 - Ag Survey initial letter.pdf Initial LEtter	IC Document
Attachment 5 - Ag Survey 2nd notice letter.pdf 2nd Notice Letter	IC Document
Attachment 6 - Ag Survey 3rd notice postcard.pdf 3rd Notice Postcard	IC Document
Attachment 7 - Ag Survey 4th notice letter.pdf 4th Notice Letter	IC Document
Attachment 8 - Ag Survey telephone reminder script and FAQs.pdf Phone Reminder	IC Document
Attachment 9 - Ag Survey post call letter-email.pdf Post-call email	IC Document
Normal Generic 0710-0018 - 2017 Upper Miss Shipping Survey.docx One Pager	IC Document

IC Title:

Agency IC Tracking Number:

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-Questionaire			Attachment 1 - Ag Survey Mail questionaire.docx		No		Paper Only
Other-Electronic Questionaire			Attachment 2 - Ag Shipper survey web screenshots.docx		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 460

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 85 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	460	460
Annual IC Time Burden (Hours)	115	115
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Logic for Web Questionaire	Attachment 3 - Ag shipper survey web survey questions flow and logic 7-18-2017.docx	10/02/2017
Initial LEtter	Attachment 4 - Ag Survey initial letter.pdf	10/02/2017
2nd Notice Letter	Attachment 5 - Ag Survey 2nd notice letter.pdf	10/02/2017
3rd Notice Postcard	Attachment 6 - Ag Survey 3rd notice postcard.pdf	10/02/2017
4th Notice Letter	Attachment 7 - Ag Survey 4th notice letter.pdf	10/02/2017
Phone Reminder	Attachment 8 - Ag Survey telephone reminder script and FAQs.pdf	10/02/2017
Post-call email	Attachment 9 - Ag Survey post call letter-email.pdf	10/02/2017
One Pager	Normal Generic 0710-0018 - 2017 Upper Miss Shipping Survey.docx	10/03/2017

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