Information Collection

In-depth Interviews with Healthcare Professionals and Health Educators on Environmental Contaminants in Food for Young Children

IC 263183 under ICR 202302-0910-006 · OMB 0910-0891.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Appendix I Participant Screener .docx Other-Screener
Appendix II Informed Consent.docx Other-Informed consent
Appendix III Interview Guide.docx Other-Interview guide
OMB Memo Env Contaminents in Food for Young Children FINAL.docx
OMB Memo / Abbreviated Supporting Statement
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-Screener Appendix I Participant Screener .docx Yes Yes Fillable Fileable
Other-Informed consent Appendix II Informed Consent.docx Yes No Printable Only
Other-Interview guide Appendix III Interview Guide.docx Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 80 0 80 0 0 0
Annual IC Time Burden (Hours) 41 0 41 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
OMB Memo / Abbreviated Supporting Statement OMB Memo Env Contaminents in Food for Young Children FINAL.docx 11/02/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.