Information Collection

Childhood Injury and Adult Occupational Injury survey of Minority Farm Operators

IC 1169 under ICR 200310-0535-002 · OMB 0535-0235.

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Information Collection (IC) Details

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IC Title:	Childhood Injury and Adult Occupational Injury survey of Minority Farm Operators	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Farms

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	136,561	90,111	46,450
Annual IC Time Burden (Hours)	12,093	1,458	10,635
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.