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Post-Wave Tracking Survey
Post-Wave Tracking Survey
OMB: 0583-0157
IC ID: 203881
OMB.report
USDA/FSIS
OMB 0583-0157
ICR 201208-0583-002
IC 203881
( )
Documents and Forms
Document Name
Document Type
FoodSafety_AdCouncil_TrackingStudy_Rev 4-16-12 ACCULTURATION SCREENER - HISPANIC TRANSLATION.docx
Other-screener
FoodSafety_AdCouncil_TrackingStudy_Rev 4-16-12 QUESTIONNAIRE - ENGLISH.docx
Other-Questionnaire
FoodSafety_AdCouncil_TrackingStudy_Rev 4-16-12 QUESTIONNAIRE - HISPANIC TRANSLATION.docx
Other-questionnaire
FoodSafety_AdCouncil_TrackingStudy_Rev 4-16-12 ACCULTURATION SCREENER - ENGLISH.docx
Other-screener
FoodSafety_AdCouncil_Tracking_2012_Questionnaire_English_FINAL.docx
Other-Questionnaire
FoodSafety_AdCouncil_Tracking_2012_Questionnaire_Spanish_FINAL.docx
Other-Questionnaire
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Post-Wave Tracking Survey
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-screener
FoodSafety_AdCouncil_TrackingStudy_Rev 4-16-12 ACCULTURATION SCREENER - HISPANIC TRANSLATION.docx
Yes
No
Paper Only
Other-Questionnaire
FoodSafety_AdCouncil_TrackingStudy_Rev 4-16-12 QUESTIONNAIRE - ENGLISH.docx
Yes
No
Paper Only
Other-questionnaire
FoodSafety_AdCouncil_TrackingStudy_Rev 4-16-12 QUESTIONNAIRE - HISPANIC TRANSLATION.docx
Yes
No
Paper Only
Other-screener
FoodSafety_AdCouncil_TrackingStudy_Rev 4-16-12 ACCULTURATION SCREENER - ENGLISH.docx
Yes
No
Paper Only
Other-Questionnaire
FoodSafety_AdCouncil_Tracking_2012_Questionnaire_English_FINAL.docx
Yes
No
Paper Only
Other-Questionnaire
FoodSafety_AdCouncil_Tracking_2012_Questionnaire_Spanish_FINAL.docx
Yes
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,200
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,200
0
1,200
0
0
0
Annual IC Time Burden (Hours)
300
0
300
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
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.