Food Safety Survey: Pretest Screener

Food Safety, Health, and Diet Survey

OMB: 0910-0345

IC ID: 213924

Documents and Forms
Document Name
Document Type
Other-Questionnaire
Other-Letter to respondent
Other-Non response letter
Other-Non response questionnaire
Information Collection (IC) Details

View Information Collection (IC)

Food Safety Survey: Pretest Screener
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Questionnaire Appendix A Questionnaire 11 25 14.doc Yes Yes Fillable Fileable
Other-Letter to respondent Attachement B 11 25 14.doc No   Paper Only
Other-Non response letter Attachment C 11 25 14.doc No   Paper Only
Other-Non response questionnaire Attachment D 11 25 14.doc Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

45 0
   
Individuals or Households
 
   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 0 0 -45 0 0 45
Annual IC Time Burden (Hours) 0 0 -1 0 0 1
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.
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