Information Collection

Small and Very Small Establishment Outreach Survey

IC 263901 under ICR 202312-0583-002 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Outreach Survey for S and VS Plants_FINAL_12.20.23.docx	Other-web survey
Outreach Survey for S and VS Plants_FINAL_12.20.23.docx	Other-web survey
Outreach Survey for S and VS Plants_FINAL_12.20.23_Arabic.docx	Other-web survey Arabic
Outreach Survey for S and VS Plants_FINAL_12.20.23_Arabic.docx	Other-web survey Arabic
Outreach Survey for S and VS Plants_FINAL_12.20.23_Chinese.docx	Other-web survey Chinese
Outreach Survey for S and VS Plants_FINAL_12.20.23_Chinese.docx	Other-web survey Chinese
Outreach Survey for S and VS Plants_FINAL_12.20.23_French.docx	Other-web survey French
Outreach Survey for S and VS Plants_FINAL_12.20.23_French.docx	Other-web survey French
Outreach Survey for S and VS Plants_FINAL_12.20.23_Spanish.docx	Other-web survey Spanish
Outreach Survey for S and VS Plants_FINAL_12.20.23_Spanish.docx	Other-web survey Spanish
Outreach Survey for S and VS Plants_FINAL_12.20.23_Vietnamese.docx	Other-web survey Vietnamese
Outreach Survey for S and VS Plants_FINAL_12.20.23_Vietnamese.docx	Other-web survey Vietnamese

IC Title:

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-web survey	Outreach Survey for S and VS Plants_FINAL_12.20.23.docx	Yes	Yes	Fillable Fileable
Other-web survey Arabic	Outreach Survey for S and VS Plants_FINAL_12.20.23_Arabic.docx	Yes	Yes	Fillable Fileable
Other-web survey Chinese	Outreach Survey for S and VS Plants_FINAL_12.20.23_Chinese.docx	Yes	Yes	Fillable Fileable
Other-web survey French	Outreach Survey for S and VS Plants_FINAL_12.20.23_French.docx	Yes	Yes	Fillable Fileable
Other-web survey Spanish	Outreach Survey for S and VS Plants_FINAL_12.20.23_Spanish.docx	Yes	Yes	Fillable Fileable
Other-web survey Vietnamese	OutreachÂ SurveyÂ forÂ SÂ andÂ VSÂ Plants_FINAL_12.20.23_Vietnamese.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: 1,250

Number of Respondents for Small Entity: 1,250

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	1,250	1,250
Annual IC Time Burden (Hours)	105	105
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.