Information Collection

2021-2022 - Full Service Restaurants - Completion of Sections 1 and 3

IC 204849 under ICR 202106-0910-012 · OMB 0910-0744.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0744 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment B- RFS Marking Instructions.pdf	Other-Instructions
Attachment B- RFS Marking Instructions.pdf	Other-Instructions
Attachment C - Restaurant Data Collection Form.pdf	Other-Survey
Attachment C - Restaurant Data Collection Form.pdf	Other-Survey

IC Title:

2021-2022 - Full Service Restaurants - Completion of Sections 1 and 3

Agency IC Tracking Number:

ORA

Is this a Common Form? No

IC Status: Modified

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-Instructions			Attachment B- RFS Marking Instructions.pdf		Yes	No	Printable Only
Other-Survey			Attachment C - Restaurant Data Collection Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	692	692
Annual IC Cost Burden (Dollars)	0	0

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.