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View Information Collection (IC)

Food Safety Communication Evaluation: Focus Groups Assessing Food Safety Messages, Knowledge, and Attitudes 0920-1154-22CW
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1154 Eligibility and Demographic Screener Attachment #1 - Eligibility and Demographic Screener_25Feb22.docx Yes Yes Fillable Fileable
Form and Instruction 0920-1154 Focus Group Moderator Guide - General Attachment #3 (1) - Focus Group Moderator Guide-Gen_ AA_ Hisp_25Feb22.docx Yes No Fillable Fileable
Form and Instruction 0920-1154 Focus Group Moderator Guide - Parents Attachment #3 (2) - Focus Group Moderator Guide-Parents_25Feb22.docx Yes No Fillable Fileable
Form and Instruction 0920-1154 Focus Group Moderator Guide - Pregnant Attachment #3 (3)- Focus Group Moderator Guide-Pregnant_25Feb22.docx Yes No Fillable Fileable
Form and Instruction 0920-1154 Respondent Technology Screener Attachment #7 - Respondent Technology Screener_25Feb22.docx Yes No Fillable Fileable

Health Public Health Monitoring

 

4,844 0
   
Individuals or Households
 
   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 4,844 0 4,844 0 0 0
Annual IC Time Burden (Hours) 646 0 646 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Recruitment Materials Attachment #2 - Recruitment Materials_25Feb22.docx 03/02/2022
Privacy Agreement Attachment #4 - Privacy Agreement 25Feb22.docx 03/02/2022
Messages and Materials for Testing Attachment #5 - Messages and Materials for Testing_25Feb22.docx 03/02/2022
Consent Form Attachment #6 - Respondent Consent Form_25Feb22.docx 03/02/2022
Standard Invitation Attachment #8 - Standard Invitation_25Feb22.docx 03/02/2022
Confirmation Email Attachment #9 - Participant Confirmation Email25Feb22.docx 03/02/2022
GenIC Template Form GenIC Request_25Feb22.docx 03/02/2022
SSA Supporting Statement A_25Feb22.docx 03/02/2022
SSB Supporting Statement B_25Feb22.docx 03/02/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.