Form Approved
OMB No. 0920-0792
Exp. Date 08/31/2021
Attachment 3- Example of EHS-Net Manager Recruiting Script
Public reporting burden for this collection of information is
estimated to average 1 minute per response, including the
time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and
reviewing the collection of information. An agency may not conduct
or sponsor, and a person is not required to respond to, a collection
of information unless it displays a currently valid OMB control
number. Send comments regarding this burden estimate or any other
aspect of this collection of information, including suggestions for
reducing this burden, to: CDC/ATSDR Information Collection Review
Office, MS D-74; 1600 Clifton Road NE, Atlanta, Ga. 30333; ATTN: PRA
(0920-0792)
Having said that, I need to let you know that at any time during the survey if I see something that is an imminent health hazard, such as no power, no water or sewage on the floor, I will need to stop the study and report the problem to your local health department.
Could we schedule a time to come out when we could talk to a kitchen manager, a food worker, and observe your kitchen for awhile?
No → Thank you for your time.
Yes ↓
Great! I’ll visit your restaurant for about an hour and ten minutes. Keeping in mind that a manager responsible for managing the kitchen and a worker who handles food and who speaks English needs to be available for the interview, when would be a convenient time to schedule the visit?
Date: Time:
Please call me at if you need to cancel or re-schedule, or if you have any questions.
If you have any questions at a later time, you can contact: (Local Contact Name). (If have card) My information is on this card.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Hello this is __________ with the _________ Health Department |
Author | lrg |
File Modified | 0000-00-00 |
File Created | 2021-08-17 |