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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
Document Name
Document Type
Other-survey script
Other-Pretest - Food Safety Survey
Other-Nutrition Survey Pretest
Information Collection (IC) Details

View Information Collection (IC)

Pretest Screener (phone and mail); Pretest (phone and mail); Survey Screener (phone and mail); Phone Survey; Mail Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey script 0345 survey script.xlsx Yes Yes Fillable Fileable
Other-Pretest - Food Safety Survey FSANS_FoodSafety Survey_pretest-090425.docx Yes Yes Fillable Printable
Other-Nutrition Survey Pretest FSANS_Nutrition Survey Pretest-090425.docx Yes Yes Fillable Printable

Health Consumer Health and Safety

 

66,265 0
   
Individuals or Households
 
   95 %

  Requested 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

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.