Information Collection

Screener - Real Time Survey of Consumer Knowledge Perception and Reported Behavior Concerning All clearPathogen OutBreak and Food Product Recall

IC 197251 under ICR 201104-0910-002 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
All Clear Generic Real Time Food Recall Survey Instrument 8-24-10.doc	Other-Screener and Questionnaire
All Clear Spinach R.T. Food Recall Screener and Questionnaire 8-24-10.doc All Clear Spinach R	IC Document
All Clear Tomatoes R.T Food Recall Screener and Questionnaire 8-24-10.doc All Clear Tomatoes R	IC Document
All Clear Lettuce R.T.Food Recall Screener and Questionnaire 8-24-10.doc All Clear Lettuce R	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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
Other-Screener and Questionnaire			All Clear Generic Real Time Food Recall Survey Instrument 8-24-10.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50,000	50,000
Annual IC Time Burden (Hours)	275	275
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
All Clear Spinach R	All Clear Spinach R.T. Food Recall Screener and Questionnaire 8-24-10.doc	03/25/2011
All Clear Tomatoes R	All Clear Tomatoes R.T Food Recall Screener and Questionnaire 8-24-10.doc	03/25/2011
All Clear Lettuce R	All Clear Lettuce R.T.Food Recall Screener and Questionnaire 8-24-10.doc	03/25/2011

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