Information Collection

In-Home Food Safety Behaviors and Consumer Education: Annual Observational Study

IC 226809 under ICR 201903-0583-003 · OMB 0583-0169.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0583-0169 can be found here:

Documents and Forms

Document Name Document Type
Appendix E_Screening Questionnaires__final_4_2_19.docx Other-screening questionnaire year 3
Appendix A_study design_Yr 3_NRTE_3_15_19.docx Study Design Year 3 IC Document
Appendix B_recruiting ad_text_final_4_2_19.pdf Recruiting Ad IC Document
Appendix C_Recruiting Email_final_4_2_19.docx Recruiting Email IC Document
Appendix D_Recruiting Sign_final_4_2_19.docx Recruiting Sign IC Document
Appendix F_Recruit Call Script__final_3_15_19.docx Recruiting Call Script IC Document
Appendix G_Confirmation Email__final_3_15_19.docx Confirmation Email IC Document
Appendix H_Reminder Call Script__final_3_15_19.docx Reminder Call Script IC Document
Appendix J_Informed Consent_final_4_4_19.docx Informed Consent Year 3 IC Document
Appendix K_Recipes and Instructions__final_4_4_19.docx Recipes and Instructions Year 3 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	In-Home Food Safety Behaviors and Consumer Education: Annual Observational Study	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Other-screening questionnaire year 3			Appendix E_Screening Questionnaires__final_4_2_19.docx		No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,999	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,999	1,999
Annual IC Time Burden (Hours)	2,942	2,942
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Study Design Year 3	Appendix A_study design_Yr 3_NRTE_3_15_19.docx	04/03/2019
Recruiting Ad	Appendix B_recruiting ad_text_final_4_2_19.pdf	04/03/2019
Recruiting Email	Appendix C_Recruiting Email_final_4_2_19.docx	04/03/2019
Recruiting Sign	Appendix D_Recruiting Sign_final_4_2_19.docx	04/03/2019
Recruiting Call Script	Appendix F_Recruit Call Script__final_3_15_19.docx	04/03/2019
Confirmation Email	Appendix G_Confirmation Email__final_3_15_19.docx	04/03/2019
Reminder Call Script	Appendix H_Reminder Call Script__final_3_15_19.docx	04/03/2019
Informed Consent Year 3	Appendix J_Informed Consent_final_4_4_19.docx	04/04/2019
Recipes and Instructions Year 3	Appendix K_Recipes and Instructions__final_4_4_19.docx	04/04/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.