Information Collection

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

IC 204336 under ICR 201106-0910-007 · OMB 0910-0711.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0711 Real Time Survey Pre-test clearance request.doc	Other-Pretest Clearance Request
0711 PRETEST Survey 8-24-12.doc	Other-Pretest Survey
IPSOS Invitation - Real Time Surveys Pre-test.pdf	Other-Survey Panel Information
0711 Screener for Generic Real Time Food Recall Surveys Waves 1-5.doc	Other-Pretest Screener

IC Title:

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Pretest Clearance Request	0711 Real Time Survey Pre-test clearance request.doc	Yes	No	Printable Only
Other-Pretest Survey	0711 PRETEST Survey 8-24-12.doc	Yes	Yes	Fillable Fileable
Other-Survey Panel Information	IPSOS Invitation - Real Time Surveys Pre-test.pdf	Yes	No	Printable Only
Other-Pretest Screener	0711 Screener for Generic Real Time Food Recall Surveys Waves 1-5.doc	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

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	600	0	0	0	0	0
Annual IC Time Burden (Hours)	35	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
No associated records found

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