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Federal forms, ICRs, and supporting documents

Information Collection

Food Safety Behaviors and Consumer Education: Focus Group Research

IC 229872 under ICR 201801-0583-001 · OMB 0583-0173.

Documents and Forms
Document Name
Document Type
Other-moderator guide questions
Other-screening questionnaire
Other-screening questionnaire 2
Other-moderator guide questions 2
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Food Safety Behaviors and Consumer Education: Focus Group Research
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-moderator guide questions Appendix B Mod Guide Set 1_post pilot.docx No   Paper Only
Other-screening questionnaire Appendix A English and Spanish Screener Set_updated_3_9_18.doc No   Paper Only
Other-screening questionnaire 2 Appendix C Screener Set 2_updated_3_9_18.doc No   Paper Only
Other-moderator guide questions 2 Appendix D Mod Guide Set 2_updated_3_9_18.docx No   Paper Only

Health Consumer Health and Safety

 

2,125 0
   
Individuals or Households
 
   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 2,125 0 2,125 0 0 0
Annual IC Time Burden (Hours) 681 0 681 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
IRB Approval Form Appendix G IRB Approval Form_9_25_17.pdf 01/26/2018
English and Spanish consent form Appendix E English and Spanish Consent_Form_Set 1_updated_3_9_18.doc 03/12/2018
Consent Form Set 2 Appendix F Consent_Form_Set 2_updated_3_9_18.doc 03/12/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.