Information Collection

Focus Group Research to Inform Consumer Food Safety Education and Outreach

IC 244798 under ICR 202101-0583-001 · OMB 0583-0184.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0583-0184 can be found here:

Documents and Forms

Document Name Document Type
Appendix B_Food Recall_ModeratorGuide_1-13-21.pdf Other-food recall moderator guide
Appendix B_Food Recall_ModeratorGuide_1-13-21.pdf Other-food recall moderator guide
Appendix D_MCI_Moderator Guide_1-13-21.pdf Other-MCI moderator guide
Appendix D_MCI_Moderator Guide_1-13-21.pdf Other-MCI moderator guide
Appendix A_Food Recall _Screener_1_13_21.docx food recall screener IC Document
Appendix A_Food Recall _Screener_1_13_21.docx food recall screener IC Document
Appendix C_MCI_Screener_1-13-21.docx MCI screener IC Document
Appendix C_MCI_Screener_1-13-21.docx MCI screener IC Document
Appendix E_Consent Form_Recall_1-13-21.docx consent form recall IC Document
Appendix E_Consent Form_Recall_1-13-21.docx consent form recall IC Document
Appendix F_Consent Form_MCI_1-13-21.docx consent form MCI IC Document
Appendix F_Consent Form_MCI_1-13-21.docx consent form MCI IC Document
Appendix G_COVID consent addendum_1-13-21.docx COVID consent IC Document
Appendix G_COVID consent addendum_1-13-21.docx COVID consent IC Document
Appendix H_COVID Day of screening tool_1-13-21.docx COVID day of screening IC Document
Appendix H_COVID Day of screening tool_1-13-21.docx COVID day of screening IC Document
Appendix I_procedures COVID_1-13-21.docx procedures COVID IC Document
Appendix I_procedures COVID_1-13-21.docx procedures COVID IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Focus Group Research to Inform Consumer Food Safety Education and Outreach	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-food recall moderator guide			Appendix B_Food Recall_ModeratorGuide_1-13-21.pdf		No		Paper Only
Other-MCI moderator guide			Appendix D_MCI_Moderator Guide_1-13-21.pdf		No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 160	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	160	160
Annual IC Time Burden (Hours)	240	240
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
food recall screener	Appendix A_Food Recall _Screener_1_13_21.docx	01/13/2021
MCI screener	Appendix C_MCI_Screener_1-13-21.docx	01/13/2021
consent form recall	Appendix E_Consent Form_Recall_1-13-21.docx	01/13/2021
consent form MCI	Appendix F_Consent Form_MCI_1-13-21.docx	01/13/2021
COVID consent	Appendix G_COVID consent addendum_1-13-21.docx	01/13/2021
COVID day of screening	Appendix H_COVID Day of screening tool_1-13-21.docx	01/13/2021
procedures COVID	Appendix I_procedures COVID_1-13-21.docx	01/13/2021

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