Information Collection

ELEVATE Nutrition Food Environment Exchange Post-Event Evaluation

IC 271662 under ICR 202404-0412-002 · OMB 0412-0609.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ELEVATE Nutrition Food Environment Exchange Post-Event Evaluation - Google Forms_101024 (1).pdf	Other-Survey
ICR Template_A11 Section 280 Generic Clearance_May 2024_ELEVATE Food Env Survey (1).docx “Generic Clearance for Improving Customer Experience: OMB Circular A-11, Section 280 Implementation”	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

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-Survey					Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 58

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	58	58
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
âGeneric Clearance for Improving Customer Experience: OMB Circular A-11, Section 280 Implementationâ		10/16/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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