NEARS Manager Interview Form (Retail Food)

[NCEH] National Environmental Assessment Reporting System (NEARS)

Documents and Forms

Document Name Document Type
NEARS Manager Interview Form (Retail Food) Form and Instruction
Manager Interview Att7 NEARS Manager Interview Recording Form 11-25.docx Form and Instruction

Information Collection (IC) Details

IC Title:	NEARS Manager Interview Form (Retail Food)	Agency IC Tracking Number:	0920-0980

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	Manager Interview	Att7 NEARS Manager Interview Recording Form 11-25.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,104	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,104	1,104
Annual IC Time Burden (Hours)	368	368
Annual IC Cost Burden (Dollars)	0	0

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.