Information Collection

Web-based Survey: Livestock Abortion-Associated Zoonoses

IC 234166 under ICR 201810-0920-005 · OMB 0920-1251.

Documents and Forms

Document Name Document Type
Web-based Survey: Livestock Abortion-Associated Zoonoses Form and Instruction
Survey - Livestock Abortion-Associated Zoonoses Web survey online format_12312018.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Web-based Survey: Livestock Abortion-Associated Zoonoses	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	N/A	Survey - Livestock Abortion-Associated Zoonoses	Web survey online format_12312018.docx	N/A	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	5,335	5,335

Documents for IC

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.