Information Collection

Surveillance Sampling Outreach

IC 232454 under ICR 201706-0910-010 · OMB 0910-0500.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0500 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Food Sampling Assignment Survey.doc	Other-Survey
Invitation - Survey Conference Call.docx	Other-Invitation
Appendix A Survey Sampling Outreach Questions.docx	Other-Appendix A
Appendix B - List of Stakeholders.docx	Other-Appendix B
Draft Example of Future Sampling Plan.pdf	Other-Future Sampling Plan
0500 OMB approval memo Surveillance Sampling Outreach 2018.doc OMB approval memo	IC Document

IC Title:

Surveillance Sampling Outreach

Agency IC Tracking Number:

CFSAN

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Survey	Food Sampling Assignment Survey.doc	No	Paper Only
Other-Invitation	Invitation - Survey Conference Call.docx	No	Paper Only
Other-Appendix A	Appendix A Survey Sampling Outreach Questions.docx	No	Paper Only
Other-Appendix B	Appendix B - List of Stakeholders.docx	No	Paper Only
Other-Future Sampling Plan	Draft Example of Future Sampling Plan.pdf	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

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	40	40
Annual IC Time Burden (Hours)	240	240
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB approval memo	0500 OMB approval memo Surveillance Sampling Outreach 2018.doc	07/30/2018

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