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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Message Testing for Food Safety Content
Agency IC Tracking Number:
0920-21DU
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
0920-21DU
Digital Screening Form
Attachment 2_Digital Screening Survey_5Jan21_clean.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-21DU
In-depth Interview
Attachment 3_In-Depth Interview Guide_7Jan21_clean.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
280
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
280
0
280
0
0
0
Annual IC Time Burden (Hours)
130
0
130
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA
Supporting Statement A_14Jan21_clean.docx
03/31/2021
SSB
Supporting Statement B_14Jan21_clean.docx
03/31/2021
Supplemental Information
Attachement 8_Supplemental Information.docx
03/31/2021
Human Subjects Determination
Attachment 7_Human Subjects Determination.docx
03/31/2021
Phone Screen Confirmation
Attachment 6_Phone Screen Confirmation_5Jan21_clean.docx
03/31/2021
Key Messages
Attachment 5_Key Messages_17Dec20_clean_vc_SB.docx
03/31/2021
Privacy Agreement
Attachment 1_Privacy Agreement_14Jan21.docx
03/31/2021
Request for expedited Review
HMTS Expedited Review Form_food safety.pdf
03/31/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.