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Federal forms, ICRs, and supporting documents

Information Collection Request

Childhood Injury and Adult Occupational Injury survey of Minority Farm Operators

ICR 200310-0535-002 · OMB 0535-0235 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
1169 Childhood Injury and Adult Occupational Injury survey of Minority Farm Operators Migrated
ICR Details
0535-0235 200310-0535-002
Historical Active 200202-0535-001
USDA/NASS
Childhood Injury and Adult Occupational Injury survey of Minority Farm Operators
Revision of a currently approved collection   No
Regular
Approved without change 07/06/2004
Retrieve Notice of Action (NOA) 10/31/2003
  Inventory as of this Action Requested Previously Approved
06/30/2005 06/30/2005 07/31/2004
136,561 0 46,450
12,093 0 10,635
0 0 0
Measure incidence of nonfatal injuries occuring to children on farms operated by minorities and health status of minority operators.
None
None
No
1
IC Title Form No. Form Name
Childhood Injury and Adult Occupational Injury survey of Minority Farm Operators
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 136,561 46,450 0 0 90,111 0
Annual Time Burden (Hours) 12,093 10,635 0 0 1,458 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/31/2003