USDA Farmers Market Customer Satisfaction Questionnaire

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery - AMS

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.