Information Collection

EHS-NET Program Food Service Establishment Cooling Practices Study

IC 188941 under ICR 200804-0920-006 · OMB 0920-0792.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0792 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
EHS-NET Program Food Service Establishment Cooling Practices Study	Form
Recruiting Screener Attachment 2- EHS-Net Cooling Practices Study recruiting screener and nonrespondent questions.doc	Form
Data Collection Instrument Attachment 1- EHS-Net Cooling Practices Study data collection instrument.doc	Form
Attachment 3- EHS-Net Cooling Practices Study informed consent.doc Informed Consent	IC Document
Justification for change 0920-0792.doc Justification for Change	IC Document
Supplemental Materials- EHS-Net Cooling Practices Study.doc Supplemental Materials- EHS-Net Cooling Practices Study	IC Document
Supporting Statement (Part A)- EHS-NEt Cooling Practices Study.doc Supporting Statement (Part A)- EHS-NEt Cooling Practices Study	IC Document
Supporting Statement (Part B)- EHS-Net Cooling Practices Study.doc Supporting Statement (Part B)- EHS-Net Cooling Practices Study	IC Document

IC Title:

EHS-NET Program Food Service Establishment Cooling Practices Study

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Recruiting Screener	Attachment 2- EHS-Net Cooling Practices Study recruiting screener and nonrespondent questions.doc		No	No	Paper Only
Form	none	Data Collection Instrument	Attachment 1- EHS-Net Cooling Practices Study data collection instrument.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 643

Number of Respondents for Small Entity: 193

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	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	643	0	0	0	0	0
Annual IC Time Burden (Hours)	707	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Informed Consent	Attachment 3- EHS-Net Cooling Practices Study informed consent.doc	04/13/2009
Justification for Change	Justification for change 0920-0792.doc	04/27/2009
Supplemental Materials- EHS-Net Cooling Practices Study	Supplemental Materials- EHS-Net Cooling Practices Study.doc	04/27/2009
Supporting Statement (Part A)- EHS-NEt Cooling Practices Study	Supporting Statement (Part A)- EHS-NEt Cooling Practices Study.doc	04/27/2009
Supporting Statement (Part B)- EHS-Net Cooling Practices Study	Supporting Statement (Part B)- EHS-Net Cooling Practices Study.doc	04/27/2009

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