Individuals - Responsive

Study of Human Behavior and Attitudes Linked to Human-Deer Transmission of SARS-CoV-2

Documents and Forms

Document Name Document Type
WS XXXX Deer Survey Appendix D Questionnaire_clean copy.docx Other-Questionnaire
WS XXXX Deer Survey Appendix D Questionnaire_clean copy.docx Other-Questionnaire
WS XXXX Deer Survey Appendix A Cover Letter_clean copy.docx WS XXXX Deer Study Cover Letter IC Document
WS XXXX Deer Survey Appendix B Informed Consent_clean copy.docx WS XXXX Deer Study Informed Consent IC Document
WS XXXX Deer Survey Appendix C Qualtrics Informed Consent Screenshot_clean copy.docx WS XXXX Deer Study Informed Consent Screenshot IC Document
WS XXXX Deer Survey Appendix G Recruitment Script_new.docx Recruitment Script Appendix G IC Document

Information Collection (IC) Details

IC Title:	Individuals - Responsive	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 371.6

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Questionnaire			WS XXXX Deer Survey Appendix D Questionnaire_clean copy.docx		Yes	Yes	Fillable Fileable
Other-Questionnaire			WS XXXX Deer Survey Appendix D Questionnaire_clean copy.docx		No		Paper Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 10 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	26,250	26,250
Annual IC Time Burden (Hours)	3,480	3,480
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
WS XXXX Deer Study Cover Letter	WS XXXX Deer Survey Appendix A Cover Letter_clean copy.docx	04/28/2025
WS XXXX Deer Study Informed Consent	WS XXXX Deer Survey Appendix B Informed Consent_clean copy.docx	04/28/2025
WS XXXX Deer Study Informed Consent Screenshot	WS XXXX Deer Survey Appendix C Qualtrics Informed Consent Screenshot_clean copy.docx	04/28/2025
Recruitment Script Appendix G	WS XXXX Deer Survey Appendix G Recruitment Script_new.docx	04/28/2025

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