Information Collection

Food Safety Communication Evaluation: Focus Groups Assessing Food Safety Messages, Knowledge, and Attitudes

IC 251914 under ICR 201912-0920-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 0920-1154 Eligibility and Demographic Screener Food Safety Communication Evaluation: Focus Groups Assessing Food Safety Messages, Knowledge, and Attitudes	Form and Instruction
Form 0920-1154 Focus Group Moderator Guide - General Food Safety Communication Evaluation: Focus Groups Assessing Food Safety Messages, Knowledge, and Attitudes	Form and Instruction
Form 0920-1154 Focus Group Moderator Guide - Parents Food Safety Communication Evaluation: Focus Groups Assessing Food Safety Messages, Knowledge, and Attitudes	Form and Instruction
Form 0920-1154 Focus Group Moderator Guide - Pregnant Food Safety Communication Evaluation: Focus Groups Assessing Food Safety Messages, Knowledge, and Attitudes	Form and Instruction
Form 0920-1154 Respondent Technology Screener Food Safety Communication Evaluation: Focus Groups Assessing Food Safety Messages, Knowledge, and Attitudes	Form and Instruction
0920-1154 Eligibility and Demographic Screener Attachment #1 - Eligibility and Demographic Screener_25Feb22.docx	Form and Instruction
0920-1154 Focus Group Moderator Guide - General Attachment #3 (1) - Focus Group Moderator Guide-Gen_ AA_ Hisp_25Feb22.docx	Form and Instruction
0920-1154 Focus Group Moderator Guide - Parents Attachment #3 (2) - Focus Group Moderator Guide-Parents_25Feb22.docx	Form and Instruction
0920-1154 Focus Group Moderator Guide - Pregnant Attachment #3 (3)- Focus Group Moderator Guide-Pregnant_25Feb22.docx	Form and Instruction
0920-1154 Respondent Technology Screener Attachment #7 - Respondent Technology Screener_25Feb22.docx	Form and Instruction
Attachment #2 - Recruitment Materials_25Feb22.docx Recruitment Materials	IC Document
Attachment #4 - Privacy Agreement 25Feb22.docx Privacy Agreement	IC Document
Attachment #5 - Messages and Materials for Testing_25Feb22.docx Messages and Materials for Testing	IC Document
Attachment #6 - Respondent Consent Form_25Feb22.docx Consent Form	IC Document
Attachment #8 - Standard Invitation_25Feb22.docx Standard Invitation	IC Document
Attachment #9 - Participant Confirmation Email25Feb22.docx Confirmation Email	IC Document
GenIC Request_25Feb22.docx GenIC Template Form	IC Document
Supporting Statement A_25Feb22.docx SSA	IC Document
Supporting Statement B_25Feb22.docx SSB	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Food Safety Communication Evaluation: Focus Groups Assessing Food Safety Messages, Knowledge, and Attitudes

Agency IC Tracking Number:

0920-1154-22CW

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	0920-1154	Yes	Yes	Fillable Fileable
Form and Instruction	0920-1154	Yes	No	Fillable Fileable
Form and Instruction	0920-1154	Yes	No	Fillable Fileable
Form and Instruction	0920-1154	Yes	No	Fillable Fileable
Form and Instruction	0920-1154	Yes	No	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,844

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,844	4,844
Annual IC Time Burden (Hours)	646	646
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Recruitment Materials		03/02/2022
Privacy Agreement		03/02/2022
Messages and Materials for Testing		03/02/2022
Consent Form		03/02/2022
Standard Invitation		03/02/2022
Confirmation Email		03/02/2022
GenIC Template Form		03/02/2022
SSA		03/02/2022
SSB		03/02/2022

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

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