Information Collection

Ag Shipper – Web Survey

IC 237899 under ICR 201909-0710-003 · OMB 0710-0022.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Ohio River Attachment 2 - Ag Shipper survey web screenshots 3-20-19.docx	Other-Survey
Ohio River Attachment 3 - Ag shipper survey web survey questions flow and logic 7-18-2017.docx	Other-Survey Logic

IC Title:

Ag Shipper â Web Survey

Agency IC Tracking Number:

Is this a Common Form? No

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
Other-Survey			Ohio River Attachment 2 - Ag Shipper survey web screenshots 3-20-19.docx		Yes	Yes	Fillable Fileable Signable
Other-Survey Logic			Ohio River Attachment 3 - Ag shipper survey web survey questions flow and logic 7-18-2017.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 81

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	81	81
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	457	457

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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