Hawaii Agricultural Theft Survey

Quick Response for Cooperator-funded Surveys Generic Clearance

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0535-0264 can be found here:

Documents and Forms

Document Name Document Type
Form QID Hawaii Agricultural Theft Survey Form and Instruction
0264 - 2018 Hawaii Agricultural Theft Survey - Flyer - July 2, 2019.pdf hdoa.hawaii.gov/qad/files/2012/12/Ag-Theft-Flyer.pdf Instruction
QID Theft of Agricultural Products & Vandalism Survey - 2020 0264 - 2018 Hawaii Agricultural Theft Survey - July 2, 2019.pdf Form and Instruction
0264 - Hawaii Agricultural Theft Survey - SSA - 2019July02.docx Supporting Statement Part A - Supplementary IC Document
0264 - Hawaii Agricultural Theft Survey - SSB - 2019June21.docx Supporting Statement Part B - Supplementary IC Document

Information Collection (IC) Details

IC Title:	Hawaii Agricultural Theft Survey	Agency IC Tracking Number:

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	QID	Theft of Agricultural Products & Vandalism Survey - 2020	0264 - 2018 Hawaii Agricultural Theft Survey - July 2, 2019.pdf		No		Paper Only
Instruction			0264 - 2018 Hawaii Agricultural Theft Survey - Flyer - July 2, 2019.pdf	https://hdoa.hawaii.gov/qad/files/2012/12/Ag-Theft-Flyer.pdf	Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records
Title: SORN	FR Citation: 74 FR 79

Number of Respondents: 1,500	Number of Respondents for Small Entity: 1,275

Affected Public: Private Sector	Private Sector: Farms

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	420	420
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement Part A - Supplementary	0264 - Hawaii Agricultural Theft Survey - SSA - 2019July02.docx	07/02/2019
Supporting Statement Part B - Supplementary	0264 - Hawaii Agricultural Theft Survey - SSB - 2019June21.docx	07/02/2019

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