Environmental Health Specialists Network (EHS-NET) Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
EHS-Net Food and Safety Practices & Beliefs Study	Form and Instruction	New	Repair queued
Attachment 9- Example of EHS-Net Worker Interview.doc	Supplementary Document	Uploaded 2015-04-23	Repair queued
Attachment 8- Example of EHS-Net Worker Recruiting-Informed Consent.doc	Supplementary Document	Uploaded 2015-04-23	Repair queued
Attachment 7- Example of EHS-Net Manager Informed Consent.doc	Supplementary Document	Uploaded 2015-04-23	Available
Attachment 6- Example of EHS-Net Manager Recruiting Script.doc	Supplementary Document	Uploaded 2015-04-23	Repair queued
Attachment 5- Example of EHS-Net Observation.doc	Supplementary Document	Uploaded 2015-04-23	Available
Attachment 4- Example of EHS-Net Manager Interview.doc	Supplementary Document	Uploaded 2015-04-23	Available
Attachment 3- Example EHS-Net Research Determination.pdf	Supplementary Document	Uploaded 2015-04-23	Available
Attachment 2a- Public Comment.pdf	Supplementary Document	Uploaded 2015-04-23	Available
Attachment 2- 60-Day FRN.pdf	Supplementary Document	Uploaded 2015-04-23	Available
Supporting Statement Part B- EHS-Net 9 4 2015 (clean).doc	Supporting Statement B	Uploaded 2015-09-04	Available
Supporting Statement Part A EHS- Net 9 4 2015 (clean).doc	Supporting Statement A	Uploaded 2015-09-04	Available
Attachment 1- Regulation authorizing data collection.doc	Supplementary Document	Uploaded 2011-09-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
228125	EHS-Net Food and Safety Practices & Beliefs Study	Form and Instruction	New

ICR Details

OMB Control No: 0920-0792	ICR Reference No: 201504-0920-007
Status: Historical Active	Previous ICR Reference No: 201109-0920-005
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Environmental Health Specialists Network (EHS-NET) Program
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/11/2015
	Date Received in OIRA: 05/04/2015
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 yield generalizable data beyond the given EHS-NET site(s). Findings will not be generalized to retail establishments more broadly. Information collections submitted under this generic OMB clearance will state whether multi-lingual resources/materials will be used, and justification if none are used.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2018	36 Months From Approved
Responses	5,154	0	0
Time Burden (Hours)	885	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This is a request for reinstatement of this previously approved data collection. Environmental factors associated with foodborne illness include both food safety practices (e.g., inadequate cleaning practices) and the factors in the environment associated with those practices (e.g., worker and retail food establishment characteristics). To understand these factors, we need to collect data from those who prepare food (i.e., food workers) and from the environments in which the food is prepared (i.e., retail food establishment kitchens). Thus, data collection methods for this generic package include: 1) worker interviews/surveys, and 2) observation of kitchen environments. Both methods allow data collection on food safety practices and environmental factors associated with those practices.

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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:
	80 FR 1505	01/12/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 23554	04/28/2015
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
EHS-Net Food and Safety Practices & Beliefs Study	NA, NA, NA, NA, NA, NA	Telephone Manager Recruiting Script ,   Manager Informed Consent and Interview ,   Manager Interview Guide ,   Food Worker Informed Consent and Written Survey ,   Food Workere Informed Consent and Electronic Survey ,   Restaurant Environment Observation Form

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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	5,154	0	0	5,154	0	0
Annual Time Burden (Hours)	885	0	0	885	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: No

Burden Reduction Due to:

Short Statement: This is a reinstatement with changes which includes a reduction in burden and respondents due to reduction in data collection sites and previous over-estimation.

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Annual Cost to Federal Government: $2,223,500

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? No

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: 05/04/2015

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