Information Collection

Focus Group Research to Inform Consumer Food Safety Education and Outreach

IC 244798 under ICR 202201-0583-001 · OMB 0583-0184.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix B_Food Recall_ModeratorGuide_1_27_22.docx	Other-food recall moderator guide
Appendix B_Food Recall_ModeratorGuide_1_27_22.docx	Other-food recall moderator guide
Appendix D_MCI_Moderator Guide_2_2_22.docx	Other-MCI moderator guide
Appendix D_MCI_Moderator Guide_2_2_22.docx	Other-MCI moderator guide
Appendix G_COVID consent addendum_1-13-21.docx COVID consent	IC Document
Appendix G_COVID consent addendum_1-13-21.docx COVID consent	IC Document
Appendix H_COVID Day of screening tool_1-13-21.docx COVID day of screening	IC Document
Appendix H_COVID Day of screening tool_1-13-21.docx COVID day of screening	IC Document
Appendix I_procedures COVID_1-13-21.docx procedures COVID	IC Document
Appendix I_procedures COVID_1-13-21.docx procedures COVID	IC Document
Appendix A_Food Recall _Screener_1_27_22.docx Food Recall Screener	IC Document
Appendix A_Food Recall _Screener_1_27_22.docx Food Recall Screener	IC Document
Appendix C_MCI_Screener_1-27-22.docx MCI Screener	IC Document
Appendix C_MCI_Screener_1-27-22.docx MCI Screener	IC Document
Appendix E_Consent Form_Recall_1_27_22.docx Consent Form Recall	IC Document
Appendix E_Consent Form_Recall_1_27_22.docx Consent Form Recall	IC Document
Appendix F_Consent Form_MCI_1_27_22.docx Consent Form MCI	IC Document
Appendix F_Consent Form_MCI_1_27_22.docx Consent Form MCI	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-food recall moderator guide			Appendix B_Food Recall_ModeratorGuide_1_27_22.docx		No		Paper Only
Other-MCI moderator guide			Appendix D_MCI_Moderator Guide_2_2_22.docx		No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 160

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	160	160
Annual IC Time Burden (Hours)	240	240
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
COVID consent	Appendix G_COVID consent addendum_1-13-21.docx	01/13/2021
COVID day of screening	Appendix H_COVID Day of screening tool_1-13-21.docx	01/13/2021
procedures COVID	Appendix I_procedures COVID_1-13-21.docx	01/13/2021
Food Recall Screener	Appendix A_Food Recall _Screener_1_27_22.docx	01/31/2022
MCI Screener	Appendix C_MCI_Screener_1-27-22.docx	01/31/2022
Consent Form Recall	Appendix E_Consent Form_Recall_1_27_22.docx	01/31/2022
Consent Form MCI	Appendix F_Consent Form_MCI_1_27_22.docx	01/31/2022

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