2017 Agricultural Shipper Needs Survey -

Instrument(s) for Navigation Improvement Survey(s)

Documents and Forms

Document Name Document Type
Attachment 1 - Ag Survey Mail questionaire.docx Other-Questionaire
Attachment 2 - Ag Shipper survey web screenshots.docx Other-Electronic Questionaire
Attachment 3 - Ag shipper survey web survey questions flow and logic 7-18-2017.docx Logic for Web Questionaire IC Document
Attachment 4 - Ag Survey initial letter.pdf Initial LEtter IC Document
Attachment 5 - Ag Survey 2nd notice letter.pdf 2nd Notice Letter IC Document
Attachment 6 - Ag Survey 3rd notice postcard.pdf 3rd Notice Postcard IC Document
Attachment 7 - Ag Survey 4th notice letter.pdf 4th Notice Letter IC Document
Attachment 8 - Ag Survey telephone reminder script and FAQs.pdf Phone Reminder IC Document
Attachment 9 - Ag Survey post call letter-email.pdf Post-call email IC Document
Normal Generic 0710-0018 - 2017 Upper Miss Shipping Survey.docx One Pager IC Document

Information Collection (IC) Details

IC Title:	2017 Agricultural Shipper Needs Survey -	Agency IC Tracking Number:

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
Other-Questionaire			Attachment 1 - Ag Survey Mail questionaire.docx		No		Paper Only
Other-Electronic Questionaire			Attachment 2 - Ag Shipper survey web screenshots.docx		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 460	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 85 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	460	460
Annual IC Time Burden (Hours)	115	115
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Logic for Web Questionaire	Attachment 3 - Ag shipper survey web survey questions flow and logic 7-18-2017.docx	10/02/2017
Initial LEtter	Attachment 4 - Ag Survey initial letter.pdf	10/02/2017
2nd Notice Letter	Attachment 5 - Ag Survey 2nd notice letter.pdf	10/02/2017
3rd Notice Postcard	Attachment 6 - Ag Survey 3rd notice postcard.pdf	10/02/2017
4th Notice Letter	Attachment 7 - Ag Survey 4th notice letter.pdf	10/02/2017
Phone Reminder	Attachment 8 - Ag Survey telephone reminder script and FAQs.pdf	10/02/2017
Post-call email	Attachment 9 - Ag Survey post call letter-email.pdf	10/02/2017
One Pager	Normal Generic 0710-0018 - 2017 Upper Miss Shipping Survey.docx	10/03/2017

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