Information Collection Request

Survey on the Occurrence of Foodborne Illness Risks Factors in Selected Institutional Foodservice and Retail Food Stores Facility Types

ICR 202108-0910-002 · OMB 0910-0799 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
0799_Supporting Statement Part A_2021.docx Supporting Statement A Uploaded 2021-08-16 Repair queued
0799_Supporting Statement Part B_2021.docx Supporting Statement B Uploaded 2021-08-06 Repair queued
Attachment E - CDC-FDA Data Collection Collaboration.pdf Supplementary Document Uploaded 2021-08-06 Missing upstream
Attachment D - Introduction Letter.pdf Supplementary Document Uploaded 2021-08-06 Repair queued
Attachment A - Risk Factor Study Protocol.pdf Supplementary Document Uploaded 2021-08-06 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
217135 Data Collection-Entry Refusals Instruction Modified
217133 Data Collection (Retail Food Stores) -Completion of Section 2 Instruction Modified
217132 Retail Food Stores - Completion of Sections 1 and 3 Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 09/30/2021
808 808
1,401 1,401
0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Data Collection (Retail Food Stores) -Completion of Section 2
Data Collection-Entry Refusals
Retail Food Stores - Completion of Sections 1 and 3

table that charts list of burden
  Total Request 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 808 808 0 0 0 0
Annual Time Burden (Hours) 1,401 1,401 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No