Information Collection

FDD Qualitative Food Survey

IC 213186 under ICR 201606-0584-004 · OMB 0584-0524.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0524 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
USDA Foods Product Feedback Survey 9 15 14.docx www.wufoo.com	Other-USDA Foods Product Feedback Su
Unseasoned Chicken Strip Evaluation Survey 9 15 14.docx www.wufoo.com	Other-Unseasoned Chicken Strip Evalu
USDA Foods Qualitative Survey - Memo & SS.docx USDA Foods Qualitative Survey - Memo & SS	IC Document

IC Title:

FDD Qualitative Food Survey

Agency IC Tracking Number:

IC Status: Unchanged

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-USDA Foods Product Feedback Survey			USDA Foods Product Feedback Survey 9 15 14.docx	www.wufoo.com	Yes	Yes	Fillable Fileable
Other-Unseasoned Chicken Strip Evaluation Survey			Unseasoned Chicken Strip Evaluation Survey 9 15 14.docx	www.wufoo.com	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,680

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	4,680	4,680
Annual IC Time Burden (Hours)	1,461	1,461
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
USDA Foods Qualitative Survey - Memo & SS	USDA Foods Qualitative Survey - Memo & SS.docx	09/23/2014

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