Environmental Health Specialists Network (EHS-NET) Program

Forms and Documents

Document Name	Status
OMB # 0920-0792 Environmental Health Specialists Network (EHS-Net) Program .docx Justification for No Material/Nonsubstantive Change	2017-08-14
Attachment 9- Example of EHS-Net Worker Interview.doc Supplementary Document	2015-04-23
Attachment 8- Example of EHS-Net Worker Recruiting-Informed Consent.doc Supplementary Document	2015-04-23
Attachment 7- Example of EHS-Net Manager Informed Consent.doc Supplementary Document	2015-04-23
Attachment 6- Example of EHS-Net Manager Recruiting Script.doc Supplementary Document	2015-04-23
Attachment 5- Example of EHS-Net Observation.doc Supplementary Document	2015-04-23
Attachment 4- Example of EHS-Net Manager Interview.doc Supplementary Document	2015-04-23
Attachment 3- Example EHS-Net Research Determination.pdf Supplementary Document	2015-04-23
Attachment 2a- Public Comment.pdf Supplementary Document	2015-04-23
Attachment 2- 60-Day FRN.pdf Supplementary Document	2015-04-23
Supporting Statement Part B- EHS-Net 9 4 2015 (clean).doc Supporting Statement B	2015-09-04
Supporting Statement Part A EHS- Net 9 4 2015 (clean).doc Supporting Statement A	2015-09-04
Attachment 1- Regulation authorizing data collection.doc Supplementary Document	2011-09-15

IC Document Collections

IC ID	Document Title	Status

ICR Details

OMB Control No: 0920-0792	ICR Reference No: 201708-0920-014
Status: Historical Inactive	Previous ICR Reference No: 201504-0920-007
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0792-17AZD
Title: Environmental Health Specialists Network (EHS-NET) Program
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 08/31/2017
	Date Received in OIRA: 08/15/2017
Terms of Clearance:

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

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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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: 08/15/2017

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