Information Collection

Focus Groups of US Adults KAP of Foodborne Disease Outbreaks and Illness Prevention

IC 235328 under ICR 201610-0920-009 · OMB 0920-1154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Recruitment Screener Focus Groups of US Adults KAP of Foodborne Disease Outbreaks and Illness Prevention	Form and Instruction
Recruitment Follow-up Contact Focus Groups of US Adults KAP of Foodborne Disease Outbreaks and Illness Prevention	Form and Instruction
Attachment E CDC Foodborne Outbreak Draft Knowledge and Practices Protoc 3.14.19.docx	Other-Moderator Guide
Attachment F CDC Foodborne Message Test Guide 3.14.19.docx	Other-Moderator Guide with Interview
Recruitment Screener Attachment C Recruitment Phone Script for CDC 3.14.19.docx	Form and Instruction
Recruitment Follow-up Contact Attachment B CDC Foodborne recruitment communication 3.14.19.docx	Form and Instruction
Supporting Statement A (0920-1154).docx Supporting Statement A	IC Document
Supporting Statement B (0920-1154).docx Supporting Statement B	IC Document
Attachment A Sampling Plan12.18.18.docx Sampling Plan	IC Document
Attachment D Consent Forms12.18.18.docx Consent	IC Document
Attachment G Messages to Test 1.28.18.docx Messages to Test	IC Document
Attachment H Non-research Determination.pdf Nonresearch Determination	IC Document
GenIC Request Template.docx Request for Approval	IC Document

IC Title:

Focus Groups of US Adults KAP of Foodborne Disease Outbreaks and Illness Prevention

Agency IC Tracking Number:

0920-1154-19ACH

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	none	Yes	Yes	Fillable Fileable
Form and Instruction	none	Yes	Yes	Fillable Fileable
Other-Moderator Guide		Yes	No	Paper Only
Other-Moderator Guide with Interview		Yes	No	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 804

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 93 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	804	804
Annual IC Time Burden (Hours)	157	157
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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

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