Information Collection

2021-2022 - Fast Food Restaurants - Completion of Sections 1 and 3

IC 204848 under ICR 202401-0910-002 · OMB 0910-0744.

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:

Agency IC Tracking Number:

ORA

Is this a Common Form? No

IC Status: Removed

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					Yes	No	Printable Only
Other-Survey					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
	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-400	400
Annual IC Time Burden (Hours)	-544	544
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.

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