Environmental Health Specialists Network (EHS-NET) Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Server Interview	Form	New	Available
Worker Interview	Form	New	Repair queued
Manager Interview	Form	New	Available
Manager Recruitment	Form	New	Available
Worker Interview	Form and Instruction	New	Repair queued
Worker Recruitment Script	Form and Instruction	New	Available
Manager Recruitment Script	Form and Instruction	New	Available
Manager Survey	Form	New	Available
Manager Consent and Interview	Form and Instruction	New	Available
Supporting Statement Part B- EHS-Net 1-23-2012.doc	Supporting Statement B	Uploaded 2012-01-23	Available
Attachment 6- Example of EHS-Net Data Collection Instrument- Recruiting Screener.doc	Supplementary Document	Uploaded 2011-09-22	Available
Attachment 3- Example of EHS-Net Data Collection Instrument- Interview.doc	Supplementary Document	Uploaded 2011-09-22	Available
Attachment 5- Example of EHS-Net Data Collection Informed Consent.doc	Supplementary Document	Uploaded 2011-09-15	Available
Attachment 4- Example of EHS-Net Data Collection CDC IRB Determination .doc	Supplementary Document	Uploaded 2011-09-15	Available
Attachment 2- EHS-Net Revision 60 Day FRN.pdf	Supplementary Document	Uploaded 2011-09-15	Available
Attachment 1- Regulation authorizing data collection.doc	Supplementary Document	Uploaded 2011-09-15	Available
Supporting Statement Part A- EHS-Net 1-23-2012.doc	Supporting Statement A	Uploaded 2012-01-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
208783	Food Allergen Study	Form	New	Server Interview
208783	Food Allergen Study	Form	New	Worker Interview
208783	Food Allergen Study	Form	New	Manager Interview
208783	Food Allergen Study	Form	New	Manager Recruitment
204612	EHS-Net Listeria Retail Deli Study	Form and Instruction	New	Worker Interview
204612	EHS-Net Listeria Retail Deli Study	Form and Instruction	New	Worker Recruitment Script
204612	EHS-Net Listeria Retail Deli Study	Form and Instruction	New	Manager Recruitment Script
204612	EHS-Net Listeria Retail Deli Study	Form	New	Manager Survey
204612	EHS-Net Listeria Retail Deli Study	Form and Instruction	New	Manager Consent and Interview

ICR Details

OMB Control No: 0920-0792	ICR Reference No: 201109-0920-005
Status: Historical Active	Previous ICR Reference No: 200804-0920-006
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Environmental Health Specialists Network (EHS-NET) Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/06/2012
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/22/2011
Terms of Clearance: Previous terms of clearance continue: CDC is required to submit each data collection request to OMB as a generic IC. In addition to the data collection instrument itself, supplemental materials for each generic IC should include a description of the goals of the study, study design, sampling approach, and data analysis plan. If the clearance is associated with an imminent public health concern, CDC should call OIRA to convey the urgency. CDC agrees that results of studies conducted under this generic will not yeild generalizable data beyond the given EHS-NET site(s). Findings will not be generalized to retail establishments more broadly.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2015	36 Months From Approved	02/29/2012
Responses	31,473	0	10,375
Time Burden (Hours)	7,407	0	15,563
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this food safety research program is to identify and understand environmental factors associated with foodborne illness and outbreaks. This program will involve up to 3 data collections a year, conducted by the EHS-Network, a collaborative project of CDC, FDA, USDA, and 6 state/local sites.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 36924	06/23/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 58517	09/21/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
EHS-Net Listeria Retail Deli Study	none, none, none, none, none	Manager Consent and Interview ,   Manager Survey ,   Manager Recruitment Script ,   Worker Recruitment Script ,   Worker Interview
Food Allergen Study	none, none, none, none	Manager Recruitment ,   Manager Interview ,   Worker Interview ,   Server Interview

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	31,473	10,375	0	21,098	0	0
Annual Time Burden (Hours)	7,407	15,563	0	-8,156	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden estimate reduction is due to the original package covered data from 3 respondent groups but data have not been collected from 2 of them, with no plans to do so. Those respondents groups have been deleted. And the number of annual studies was overestimated. The current burden request is a more accurate study schedule for this generic clearance.

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Annual Cost to Federal Government: $1,873,500

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/22/2011

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