Real Time Surveys of Consumers` Knowledge, Perceptions and Reported Behavior Concerning Foodborne Illness Outbreaks or Food Recalls

OMB No. 0910-0711

Expiration Date: 10/31/2013

PUBLIC Disclosure Burden Statement

Public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to:

Department of Health and Human Services
Food and Drug Administration
CFSAN/PRA Comments/HFS-24
5100 Paint Branch Parkway
College Park, MD 20740-3835.

Screener – Wave 1, 2, & 3

[“Real Time” Survey of Consumer Knowledge, Perception,

and Reported Behavior Concerning

[Pathogen] Outbreak or[Food product] Recall]

[Screener]

Thank you for responding to the invitation to participate in this survey on a recent [pathogen] outbreak or [food product] recall.

Please answer a few questions to see if you are eligible to participate in the study. Please be assured that all of your answers are kept confidential and no personal identifying information is retained with your answers. If any part of the survey makes you uncomfortable, please feel free to stop at any time.

S1. Are you at least 18 years old?

• YES

• NO [“You must be at least 18 years old to participate in this study. Thank you very much for your interest in our research.”] [eliminate]

S2. Have you shopped for groceries for yourself or others in the last month?

• Yes

• No [“We are looking for participants who have shopped for groceries in the past month. Thank you very much for your interest in our research.”] [eliminate]

S3. Do you or does someone from your immediate family work for any of the following:

• Market Research Firm [“We are recruiting individuals with certain characteristics. Thank you very much for your interest in our research.”] [eliminate]

• The Food and Drug Administration,

U.S. Department of Agriculture,

• or State or local food agency [“We are recruiting individuals with certain characteristics. Thank you very much for your interest in our research.”]

[eliminate]

• Food Industry or Food Retailer [“We are recruiting individuals with certain characteristics. Thank you very much for your interest in our research.”] [eliminate]

2