View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Foodborne Illness Valuation Research	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 2204

Information Collection Instruments:

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

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,020	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 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	1,020	0	1,020	0	0	0
Annual IC Time Burden (Hours)	305	0	305	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

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.