Non-respondents: Foodborne Illness Outbreak Investigation Survey for FSIS Public Health Partners

Foodborne Illness Outbreak Investigation Survey for FSIS Public Health Partners

Documents and Forms

Document Name Document Type
NON-Response Place Holder.doc Other-non-response place holder
NON-Response Place Holder.doc Other-non-response place holder

Information Collection (IC) Details

IC Title:	Non-respondents: Foodborne Illness Outbreak Investigation Survey for FSIS Public Health Partners	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-non-response place holder			NON-Response Place Holder.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	10	4	6
Annual IC Time Burden (Hours)	3	2	1
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.