Information Collection

Hawaii Agricultural Theft Survey

IC 236794 under ICR 201902-0535-003 · OMB 0535-0264.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Hawaii Agricultural Theft Survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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 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 %

table that charts list of burden
	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

table that charts IC Documents
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.