Consumer Compliant Monitoring System

Consumer Complaint Monitoring System-Food Safety Mobile Questionnaire

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0583-0133 can be found here:

Documents and Forms

Document Name Document Type
eCCF screenshots document- English.docx Other-web form
eCCF screenshots document- English.docx Other-web form
eCCF screenshots document - Spanish v2.docx Other-web form - Spanish
eCCF screenshots document - Spanish v2.docx Other-web form - Spanish

Information Collection (IC) Details

IC Title:	Consumer Compliant Monitoring System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Other-web form			eCCF screenshots document- English.docx		Yes	Yes	Fillable Fileable
Other-web form - Spanish			eCCF screenshots document - Spanish v2.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,000	2,250	750
Annual IC Time Burden (Hours)	750	575	175
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.