Information Collection

Individuals

IC 267997 under ICR 202407-0579-004 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Translocation of W Individuals	Form
Translocation of W Wild Pigs in Your State Appendix C Questionnaire (20240724).pdf	Form
Appendix A Qualtrics Cover Letter Example.docx Appendix A, Qualtrics Cover Letter Example	IC Document
Appendix B Informed Consent Screen Shot.docx Appendix B, Informed Consent Screen Shot	IC Document
Appendix D Exemption from IRB Review Determination Letter.pdf Appendix D, Exemption from IRB Review Determinination Letter	IC Document

IC Title:

Individuals

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 371.6

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
Form	Translocation of Wild Pigs Survey	Wild Pigs in Your State	Appendix C Questionnaire (20240724).pdf		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,667

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,667	6,667
Annual IC Time Burden (Hours)	1,401	1,401
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix A, Qualtrics Cover Letter Example	Appendix A Qualtrics Cover Letter Example.docx	05/28/2024
Appendix B, Informed Consent Screen Shot	Appendix B Informed Consent Screen Shot.docx	05/28/2024
Appendix D, Exemption from IRB Review Determinination Letter	Appendix D Exemption from IRB Review Determination Letter.pdf	05/28/2024

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