Non-Responses: Pilot Research

Food Safety Education Campaign--Initial Exploratory Survey

Documents and Forms

Document Name Document Type
AdCouncilFood Safety_GM_Screenerfinal.docx Other-screener
AdCouncilFood Safety_Hispanic_Screenerfinal.docx Other-screener

Information Collection (IC) Details

IC Title:	Non-Responses: Pilot Research	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
Other-screener			AdCouncilFood Safety_GM_Screenerfinal.docx		No		Paper Only
Other-screener			AdCouncilFood Safety_Hispanic_Screenerfinal.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 214	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	214	214
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	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.