Information Collection

Cognitive Testing for Farmers Market Survey

IC 230662 under ICR 201601-0535-001 · OMB 0535-0248.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0535-0248 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form QID Cognitive Testing for Farmers Market Survey	Form and Instruction
QID DRAFT Questions for Farmers Market Survey 0248 - Farmers Mkt. DRAFT questionnaire -.docx	Form and Instruction
QID Farmers Market - Potential Probe Questions for Cognitive 0248 - Potential interview guide questions - Farmers Mkt. 03-12-2018.docx	Form and Instruction
0248 - Mini - Supporting Statement A and B for Farmers Mkt. 03-12-2018.docx Mini-Supporting Statement for Generic Testing - Farmers Market Survey	IC Document

IC Title:

Cognitive Testing for Farmers Market Survey

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
Form and Instruction	QID	DRAFT Questions for Farmers Market Survey	0248 - Farmers Mkt. DRAFT questionnaire -.docx		No		Paper Only
Form and Instruction	QID	Farmers Market - Potential Probe Questions for Cognitive Interviews	0248 - Potential interview guide questions - Farmers Mkt. 03-12-2018.docx		No		Paper Only

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title: SORN

FR Citation: 74 FR 79

Number of Respondents: 40

Number of Respondents for Small Entity: 35

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mini-Supporting Statement for Generic Testing - Farmers Market Survey	0248 - Mini - Supporting Statement A and B for Farmers Mkt. 03-12-2018.docx	03/12/2018

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