Survey on the Occurrence of Foodborne Illness Risk Factors in Selected Retail and Foodservice Facility Types

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Attachment E_CDC-FDA Data Collection Collaboration_June 2017.pdf	Supplementary Document	Uploaded 2018-06-26	Available
Attachment D_Industry Intro Letter 2018.doc	Supplementary Document	Uploaded 2018-06-26	Available
Attachment A_DC_Restaurant_Protocol.pdf	Supplementary Document	Uploaded 2018-06-26	Available
0744 Supporting Statement Part A final 6-26-2018.doc	Supporting Statement B	Uploaded 2018-06-26	Available
0744 Supporting Statement Part A final 6-26-2018.doc	Supporting Statement A	Uploaded 2018-06-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
207991	2021-2022 - Refusals – All Facility Types	Other-Survey	Modified
207990	2021-2022 - Completion of Section 2 – All Facility Types	Other-Survey	Modified
204849	2021-2022 - Full Service Restaurants - Completion of Sections 1 and 3	Other-Survey	Modified
204848	2021-2022 - Fast Food Restaurants - Completion of Sections 1 and 3	Other-Survey	Modified

ICR Details

OMB Control No: 0910-0744	ICR Reference No: 201806-0910-013
Status: Active	Previous ICR Reference No: 201507-0910-012
Agency/Subagency: HHS/FDA	Agency Tracking No: ORA
Title: Survey on the Occurrence of Foodborne Illness Risk Factors in Selected Retail and Foodservice Facility Types
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/30/2018
	Date Received in OIRA: 07/31/2018
Terms of Clearance: Previous terms continue: OMB continues to encourage FDA to work with CDC to find opportunities to minimize burden and combine collections when possible.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2021	36 Months From Approved	09/30/2018
Responses	1,616	0	1,616
Time Burden (Hours)	1,637	0	1,637
Cost Burden (Dollars)	0	0	0

---

Abstract: This ICR collects information on the occurrence of foodborne illness risk factors in full service and fast food restaurants. Foodborne illness risk factors are defined as the preparation practices and employee behaviors most commonly reported to the Centers for Disease Control and Prevention (CDC) as contributing factors to foodborne illness outbreaks at the retail level.

---

Authorizing Statute(s): US Code: 42 USC 243,Section 311(a) Name of Law: Public Health Service Act
   US Code: 21 USC 301 Name of Law: Federal Food, Drug, and Cosmetic Act
   US Code: 31 USC 1535 Name of Law: The Economy Act of 1932
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 5433	02/07/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 36594	07/30/2018
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
2021-2022 - Completion of Section 2 – All Facility Types
2021-2022 - Refusals – All Facility Types
2021-2022 - Fast Food Restaurants - Completion of Sections 1 and 3
2021-2022 - Full Service Restaurants - Completion of Sections 1 and 3

---

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	1,616	1,616	0	0	0	0
Annual Time Burden (Hours)	1,637	1,637	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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:

---

Annual Cost to Federal Government: $261,966

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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

---

Common Form ICR:  No

---

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: 07/31/2018

---