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

View Information Collection (IC)

Farm to Table: Knowledge Base Preventing Musculoskeletal Disorders Among Food and Beverage Workers 0920-22BO
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Focus Group Guide (script) for Stakeholders Attachment C - Focus Group Guide for Stakeholders - Farm to Table.docx Yes Yes Fillable Fileable
Form and Instruction n/a Focus Group Guide (script) for Workers Attachment D - Focus Group Guide for Workers - Farm to Table.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

126 0
   
Private Sector Farms, Businesses or other for-profits
 
   100 %

  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 126 0 126 0 0 0
Annual IC Time Burden (Hours) 189 0 189 0 0 0
Annual IC Cost Burden (Dollars) 5,198 0 5,198 0 0 0

Title Document Date Uploaded
GENIC Template with Brief Project Description (Farm to Table) GENIC Template_Farm to Table.docx 01/20/2022
Supporting Statement Part A Supporting Statement A_01.18.22.docx 01/20/2022
Supporting Statement Part B Supporting Statement B_01.18.2022.docx 01/20/2022
Occupational Safety and Health Act of 1970 Attachment A. OSH Act of 1970.pdf 01/20/2022
Recruitment and Consent Scripts Attachment B - Recruitment Consent Form_01.18.2022.docx 01/20/2022
CDC Determination: IRB Approval is Not Required Attachment E - Nonresearch Determination_Farm to Table.pdf 01/20/2022
List of Companies Eligible for Participation Attachment F - Sampling and Eligible List - Farm to Table.docx 01/20/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.