Information Collection

Layers 2013 Study

IC 204190 under ICR 201209-0579-004 · OMB 0579-0404.

Documents and Forms

Document Name Document Type
Form NAHMS 299 Layers 2013 Study Form and Instruction
NAHMS 299 Layers 2013 Questionnaire NAHMS 299.docx Form and Instruction
NAHMS 298 Layers 2013 Producer Agreement Layers Producer Agreement Updated 03-18-13.docx Form
presurvey letter for OMB.doc Pre-Survey Letter IC Document
Layers2013.docx Information Sheet Explaining the Study IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Layers 2013 Study	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
Form and Instruction	NAHMS 299	Layers 2013 Questionnaire	NAHMS 299.docx		No		Paper Only
Form	NAHMS 298	Layers 2013 Producer Agreement	Layers Producer Agreement Updated 03-18-13.docx		No		Paper Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,008	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,008	1,008
Annual IC Time Burden (Hours)	756	756
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Pre-Survey Letter	presurvey letter for OMB.doc	11/13/2012
Information Sheet Explaining the Study	Layers2013.docx	11/13/2012

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