View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

EHS-Net Food and Safety Practices & Beliefs Study 0920-0792-17AYZ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Telephone Manager Recruiting Script Att 4- Tplhn Mgr Rcrtg Scipt.docx No   Paper Only
Form and Instruction NA Manager Informed Consent and Interview Att 5 -Mgr Infrmd Cnsnt Intrvw Frm.docx NA No   Paper Only
Form and Instruction NA Manager Interview Guide Att 6 - Mgr Intrvw Mrkng Guide.docx NA No   Paper Only
Form and Instruction NA Food Worker Informed Consent and Written Survey Att 8 -Food Wkr Infrmd Cnsnt Srvy Frm.docx NA No   Paper Only
Form and Instruction NA Food Workere Informed Consent and Electronic Survey Att 9 - Foodwkr Infrmd Cnsnt Elctrnc Srvy Scrn Shts.pdf NA Yes Yes Fillable Fileable
Form and Instruction NA Restaurant Environment Observation Form Att 10 - RestEnvObsrvtnFormA.docx NA No   Paper Only

Health Consumer Health and Safety

 

4,596 0
   
Individuals or Households
 
   75 %

  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 4,596 0 4,596 0 0 0
Annual IC Time Burden (Hours) 856 0 856 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supportingt Statement A EHS-Net FSC_SSA_Clean.docx 08/30/2017
Supporting Statement B EHS-Net FSC_SSB_Clean.docx 08/30/2017
Authorizing Legislation Att 1- Auth Legislation.doc 08/30/2017
EHS-Net Industry Partners Att 2- EHS-Net Industry Partners .doc 08/30/2017
EHS-Net Publications Att 3 -EHS-Net Publications.docx 08/30/2017
Food Worker Recruitment Flyer Att 7- Food Wrkr Rcrtmnt Flyr.docx 08/31/2017
Research Determination Att 11- RDFFoodSftyPrctcsandBlf-OSSign.pdf 08/31/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.