Food Safety, Health, and Diet Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0345 ss Part A 9-6-2018.docx	Supporting Statement A	Uploaded 2018-09-11	Available
0345 ss Part B 9-6-2018.docx	Supporting Statement B	Uploaded 2018-09-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
5955	Cognitive Interview Screener (telephone and mail)	Other-screener	Modified
213925	Food Safety Survey: Non-response survey	Other-Questionnaire	Removed
213924	Food Safety Survey: Pretest Screener	Other-Questionnaire	Removed
213923	Food Safety Survey: Cognitive interview	Other-Non response letter	Removed
190820	Non-response survey (phone and mail)	Other-letter	Modified
190819	Non-response survey screener (phone and mail)	Other-letter	Modified
190818	Pretest Screener (phone and mail); Pretest (phone and mail); Survey Screener (phone and mail); Phone Survey; Mail Survey	Other-survey script	Modified
190817	Cognitive Interview (phone and mail)	Other-letter	Modified

ICR Details

OMB Control No: 0910-0345	ICR Reference No: 201808-0910-007
Status: Historical Active	Previous ICR Reference No: 201411-0910-009
Agency/Subagency: HHS/FDA	Agency Tracking No: CFSAN
Title: Food Safety, Health, and Diet Survey
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 without change	Conclusion Date: 10/09/2018
	Date Received in OIRA: 09/11/2018
Terms of Clearance: Any changes made to the methodology or instruments as a result of pre-testing will be submitted for OMB approval prior to fielding the full study.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2020	36 Months From Approved	01/31/2018
Responses	67,033	0	4,229
Time Burden (Hours)	2,913	0	1,340
Cost Burden (Dollars)	0	0	0

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Abstract: The goal of this voluntary survey is to measure consumers' knowledge, attitudes, beliefs, and reported behavior about food safety and various topics related to health, nutrition, and physical activity. Data will be used to evaluate four proposed Healthy People 2030 objectives related to consumer food safety and help to evaluate and develop strategies and programs to encourage consumers to adopt healthy lifestyles through making better informed nutrition choices by using Nutrition Facts and menu labeling information.

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Authorizing Statute(s): US Code: 21 USC 393 Name of Law: FFDCA
  

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:
	82 FR 30871	07/03/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 40293	08/14/2018
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Cognitive Interview Screener (telephone and mail)
Cognitive Interview (phone and mail)
Pretest Screener (phone and mail); Pretest (phone and mail); Survey Screener (phone and mail); Phone Survey; Mail Survey
Food Safety Survey: Pretest Screener
Food Safety Survey: Cognitive interview
Food Safety Survey: Non-response survey
Non-response survey screener (phone and mail)
Non-response survey (phone and mail)

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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	67,033	4,229	0	62,804	0	0
Annual Time Burden (Hours)	2,913	1,340	0	1,573	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This request for reinstatement with change combines/consolidates two previously approved ICRs: 0910-0345 and 0910-0545. This program change is a result of the efficiencies realized by the use of the methodologies to be undertaken by this combined collection and the use of telephone and web-based technologies used to conduct this survey. Since the last approval for both ICRs in 2014 the number of responses has increased. The overall burden, however, has decreased. This is due to program changes--combining like questions and incorporating new technologies to conduct the survey. For purposes of entering the ICR into ROCIS the ICs were combined/consolidated decreasing from eight to four.

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Annual Cost to Federal Government: $1,300,000

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

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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: 09/11/2018

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