OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Survey

IC 255969 under ICR 202409-3041-001 · OMB 3041-0193.

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Instruction
Instruction
Other-Electronic survey
Other-Electronic survey
Information Collection (IC) Details

View Information Collection (IC)

Survey
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction eFiling Alpha Pilot - Participant Questionnaire - Qualitative Burden.pdf Yes Yes Printable Only
Instruction eFiling Alpha Pilot - Participant Questionnaire - Quantitative Burden.pdf Yes Yes Printable Only
Other-Electronic survey Beta Pilot Survey Questions.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

50 5
   
Private Sector Businesses or other for-profits
 
   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 50 0 0 0 0 50
Annual IC Time Burden (Hours) 110 0 0 0 0 110
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.