Information Collection

Participant Response Survey

IC 272735 under ICR 202412-0503-001 · OMB 0503-0032.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0503-0032 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Participant Response Survey	Form and Instruction
Participant Response Survey Participant Response Survey	Form and Instruction
Participant Response Survey 2501 Participant Response Form.docx	Form and Instruction
Participant Response Survey 2501 Participant Response Form.docx	Form and Instruction

IC Title:

Participant Response Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form and Instruction	N/A				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: 5,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	15,000	15,000
Annual IC Time Burden (Hours)	7,500	7,500
Annual IC Cost Burden (Dollars)	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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