Creative Concept Refinement Research

Food Safety Education Campaign--Initial Exploratory Survey

Documents and Forms

Document Name Document Type
02282011 FoodSafety_CommChecks_Guide_to sponsor.docx Other-moderator's guide
02092011Food Safety_GM_Screener_final.docx Other-screener
02092011Food Safety_HISP_Screener.docx Other-screener

Information Collection (IC) Details

IC Title:	Creative Concept Refinement Research	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-moderator's guide	02282011 FoodSafety_CommChecks_Guide_to sponsor.docx	No	Paper Only
Other-screener	02092011Food Safety_GM_Screener_final.docx	No	Paper Only
Other-screener	02092011Food Safety_HISP_Screener.docx	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 36	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	72	72
Annual IC Time Burden (Hours)	57	57
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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