EHS-Net Listeria Retail Deli Study

Environmental Health Specialists Network (EHS-NET) Program

OMB: 0920-0792

IC ID: 204612

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
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Form and Instruction
Form and Instruction
Form and Instruction
IC Document
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Information Collection (IC) Details

View Information Collection (IC)

EHS-Net Listeria Retail Deli Study
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Manager Consent and Interview Att. 4-EHS-Net Listeria-Manager Inf Cnsnt Intrvw 20121024.doc No No Paper Only
Form none Manager Survey Att. 5-EHS-Net Listeria-Manager Survey 20121024.doc No No Paper Only
Form and Instruction none Manager Recruitment Script Att. 11-EHS-Net Listeria-Manager Tel Recruit Scrpt 20121024.doc No No Paper Only
Form and Instruction none Worker Recruitment Script Att. 6-EHS-Net Listeria-Worker Recruit Scrpt Inf Cnsnt 20121024.doc No No Paper Only
Form and Instruction none Worker Interview Att. 7-EHS-Net Listeria-Worker Interview 20121024.doc No No Paper Only

Health Immunization Management

 

1,663 460
   
Private Sector Businesses or other for-profits
 
   0 %

  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 1,663 0 0 0 0 0
Annual IC Time Burden (Hours) 249 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A EHS-Net Listeria Supporting Statement A- 20121024.doc 10/24/2012
Supporting Statement B EHS-Net Listeria Supporting Statement B 20121024.doc 10/24/2012
Att 2- Industry Partners Att. 2-EHS-Net Listeria-Industry Partners 20121024.doc 10/24/2012
Att 3 - Publications Att. 3-EHS-Net Publications 20121024.doc 10/24/2012
Att 8 - Observations Att. 8-EHS-Net Listeria-Structured Notational Obs 20121024.doc 10/24/2012
Att 9 - Interagency Agreement Att. 9- EHS-Net Listeria Interagency Agreement 20121024.pdf 10/24/2012
Att 10 - Research Partners Att. 10-EHS-Net Listeria-Research Partners 20121024.doc 10/24/2012
Att 12 - Data Collection Manual Att. 12-EHS-Net Listeria-Data Cllctn Instrctn Manual 20121024.doc 10/24/2012
REVISED Supporting Statement B EHS-Net_Listeria_Supporting_Statement_B_11052012_REVISED.doc 11/05/2012
REVISED Supporting Statement A EHS-Net_Listeria_Supporting_Statement_A_11052012_REVISED.doc 11/05/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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