Mapping and Questionnaire Documents IA 30614 A4 (FSIS)

E-Government Website Customer Satisfaction Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Document Name Document Type
Form 30614 M4 Mapping and Questionnaire Documents IA 30614 A4 (FSIS) Form and Instruction
30614 M4 Q_FSIS_Web_Browse_20150515 Q_FSIS_Web_Browse_20150515.xlsx Form and Instruction
1090-0008 Generic Clearance Request Form_FSIS Survey_30614 A4.pdf 1090-0008 Generic Clearance Request Form_FSIS Survey_30614 A4 IC Document
1090-0008 Survey Mapping Document (USDA FSIS) IA 30614 A1_draft.xlsx 1090-0008 Survey Mapping Document (USDA FSIS) IA 30614 A1_draft IC Document

Information Collection (IC) Details

IC Title:	Mapping and Questionnaire Documents IA 30614 A4 (FSIS)	Agency IC Tracking Number:	30614 M4

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	30614 M4	Q_FSIS_Web_Browse_20150515	Q_FSIS_Web_Browse_20150515.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,600	3,600
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
1090-0008 Generic Clearance Request Form_FSIS Survey_30614 A4	1090-0008 Generic Clearance Request Form_FSIS Survey_30614 A4.pdf	02/19/2019
1090-0008 Survey Mapping Document (USDA FSIS) IA 30614 A1_draft	1090-0008 Survey Mapping Document (USDA FSIS) IA 30614 A1_draft.xlsx	02/19/2019

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