OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Pretest Screener (phone and mail); Pretest (phone and mail); Survey Screener (phone and mail); Phone Survey; Mail Survey

IC 190818 under ICR 202407-0910-012 · OMB 0910-0345.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
0345 survey script.xlsx Other-survey script
0345 survey script.xlsx Other-survey script
FSANS_FoodSafety Survey_pretest-090425.docx Other-Pretest - Food Safety Survey
FSANS_FoodSafety Survey_pretest-090425.docx Other-Pretest - Food Safety Survey
FSANS_Nutrition Survey Pretest-090425.docx Other-Nutrition Survey Pretest
FSANS_Nutrition Survey Pretest-090425.docx Other-Nutrition Survey Pretest

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 script Yes Yes Fillable Fileable
Other-Pretest - Food Safety Survey Yes Yes Fillable Printable
Other-Nutrition Survey Pretest Yes Yes Fillable Printable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 66,265 0 6,100 60,165 0 0
Annual IC Time Burden (Hours) 2,845 0 1,683 1,162 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 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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