OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Foodborne Illness Valuation Research

IC 259519 under ICR 202310-0536-005 · OMB 0536-0073.

Documents and Forms
Document Name
Document Type
Other-Acute survey
Other-Acute survey
Other-Chronic survey
Other-Chronic survey
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Foodborne Illness Valuation Research
 
Unchanged
 
Voluntary
 
7 CFR 2204

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Acute survey Appendix 1. US Adult acute survey.docx Yes Yes Fillable Fileable
Other-Chronic survey Appendix 2. US Adult chronic survey.docx Yes Yes Fillable Fileable

Economic Development Industry Sector Income Stabilization

 

1,020 0
   
Individuals or Households
 
   100 %

  Requested 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 1,020 0 0 0 0 1,020
Annual IC Time Burden (Hours) 305 0 0 0 0 305
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Part A WTP Part A WTP.docx 05/02/2023
Appendix 3. Recruitment Plan and Informed Consent Appendix 3. Recruitment Plan and Informed Consent.docx 05/02/2023
Appendix 4. AmeriSpeak Technical Overview Appendix 4. AmeriSpeak Technical Overview.pdf 05/02/2023
Appendix 5. Pretest Plan and Scripts Appendix 5. Pretest Plan and Scripts.docx 05/02/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.