Appendix I Questionnaire - Individuals or Households

Post-Hurricane Research and Assessment of Agriculture, Forestry, and Rural Communities in the U.S. Caribbean

Documents and Forms

Document Name Document Type
Form Questionnaire Appendix I Questionnaire - Individuals or Households Form and Instruction
Questionnaire 0596-0246 Appendix I Questionnaire ENGLISH 0596-0246 Appendix I Questionnaire.docx Form and Instruction
Questionnaire 0596-0246 Appendix I Questionnaire SPANISH 0596-0246 Appendix I Questionnaire SPANISH.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Appendix I Questionnaire - Individuals or Households	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Questionnaire	0596-0246 Appendix I Questionnaire ENGLISH	0596-0246 Appendix I Questionnaire.docx		No		Paper Only
Form and Instruction	Questionnaire	0596-0246 Appendix I Questionnaire SPANISH	0596-0246 Appendix I Questionnaire SPANISH.docx		No		Paper Only

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	75	-325	400
Annual IC Time Burden (Hours)	44	-87	131
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.