OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Cognitive Interview Screener (telephone and mail)

IC 5955 under ICR 202407-0910-012 · OMB 0910-0345.

Documents and Forms
Document Name
Document Type
Other-lettter
Other-screener
Other-Screener
Other-Screener
Information Collection (IC) Details

View Information Collection (IC)

Cognitive Interview Screener (telephone and mail)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-lettter 0345 Phone Prenotification letter.doc Yes No Paper Only
Other-screener 0345 Address based mailings.docx Yes No Paper Only
Other-Screener Cognitive Interview Screener_FSANS Food Safety Survey-090425.docx Yes Yes Fillable Fileable
Other-Screener Cognitive Interview Screener_FSANS Nutrition Survey-090425.docx Yes Yes Fillable Printable

Health Consumer Health and Safety

 

75 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 75 0 75 0 0 0
Annual IC Time Burden (Hours) 6 0 6 0 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.