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

View Information Collection (IC)

[NCEZID] Food Safety Communication Evaluation: Assessing Food Safety Messages, Knowledge, and Attitudes 0920-1154-23DK
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None Eligibility Screener for Focus Group Attachment #1 - Eligibility Screener.docx Yes Yes Fillable Fileable
Form and Instruction None [Additional] Eligible Participant Screener for Focus Group Attachment #3 - Eligible Participant Screener_FG.docx Yes Yes Fillable Fileable
Form and Instruction None Focus Group Moderator Guide Attachment #8 - Focus Group Moderator Guide .docx Yes Yes Fillable Fileable
Form and Instruction None Eligibility Screener for Rapid Survey Attachment #9 - Eligibilty Survey for Rapid Survey_03232023.docx Yes Yes Fillable Fileable
Form and Instruction None Rapid Survey Attachment #11 - Rapid Survey.docx Yes Yes Fillable Fileable
Other-Screenshots of the Eligibility Screener for the Rapid Survey Attachment #10- Screenshots of Elligibility Screener for Survey.docx Yes Yes Fillable Fileable
Other-Screenshots of the Rapid Survey Attachment #12- Screenshots of survey.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

3,474 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 3,474 0 3,474 0 0 0
Annual IC Time Burden (Hours) 522 0 522 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Part A Supporting Statement A_03232023.docx 03/23/2023
Supporting Statement Part B Supporting Statement B.docx 03/23/2023
Recruitment Materials for Focus Group Participants Attachment #2 - Recruitment Materials_FG.docx 03/23/2023
Privacy Agreement for Data Collection Contractor Attachment #4 - Privacy Agreement.docx 03/23/2023
Consent Form for Focus Group Participants Attachment #5 - Respondent Consent Form_FG_03232023.docx 03/23/2023
Invitation for Focus Group Participants Attachment #6 - Standard Invitation_FG.docx 03/23/2023
Confirmation Email for Focus Group Participants Attachment #7 - Participant Confirmation Email_FG.docx 03/23/2023
Consent Form for Survey Participants Attachment #12 - Respondent Consent Form_Survey.docx 03/23/2023
Recruitment Materials for Survey Participants Attachment #13 - Recruitment Materials_Survey_03232023.docx 03/23/2023
Food Safety Messages to be Tested Attachment #14- messages to be tested.docx 03/23/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.