Information Collection

USDA Farmers Market Customer Satisfaction Questionnaire

IC 228005 under ICR 201705-0581-005 · OMB 0581-0269.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0581-0269 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
USDA Farmers Market Customer Satisfaction Questionnaire	Form
USDA Farmers Market customer Satisfaction Questionnaire USDA Farmers Market Customer Satisfaction Questionnaire (rev. OMB 8-16-17).docx	Form
generic template 8-23-17.pdf USDA Farmers Market Customer Service Questionnaire	IC Document

IC Title:

USDA Farmers Market Customer Satisfaction Questionnaire

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 7 CFR Part 170 (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
Form	None	USDA Farmers Market customer Satisfaction Questionnaire	USDA Farmers Market Customer Satisfaction Questionnaire (rev. OMB 8-16-17).docx		No		Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 520

Number of Respondents for Small Entity: 520

Affected Public: Individuals or Households

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	520	520
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
USDA Farmers Market Customer Service Questionnaire	generic template 8-23-17.pdf	08/23/2017

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