EPA Pilot Test Questions

National Agriculture Workers Survey (NAWS)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0453 can be found here:

Documents and Forms

Document Name Document Type
1205-0453 NAWS Questionnaire with Proposed EPA Questions 9 16 11 (2).pdf Other-questionnaire

Information Collection (IC) Details

IC Title:	EPA Pilot Test Questions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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-questionnaire			1205-0453 NAWS Questionnaire with Proposed EPA Questions 9 16 11 (2).pdf		Yes	No	Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	2	2
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.