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Foodborne Illness Valuation Research
Generic Clearance for Survey Research Studies
OMB: 0536-0073
IC ID: 259519
OMB.report
USDA/ERS
OMB 0536-0073
ICR 202310-0536-005
IC 259519
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0536-0073 can be found here:
2024-05-07 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Appendix 1. US Adult acute survey.docx
Other-Acute survey
Appendix 1. US Adult acute survey.docx
Other-Acute survey
Appendix 2. US Adult chronic survey.docx
Other-Chronic survey
Appendix 2. US Adult chronic survey.docx
Other-Chronic survey
Part A WTP.docx
Part A WTP
IC Document
Part A WTP.docx
Part A WTP
IC Document
Appendix 3. Recruitment Plan and Informed Consent.docx
Appendix 3. Recruitment Plan and Informed Consent
IC Document
Appendix 3. Recruitment Plan and Informed Consent.docx
Appendix 3. Recruitment Plan and Informed Consent
IC Document
Appendix 4. AmeriSpeak Technical Overview.pdf
Appendix 4. AmeriSpeak Technical Overview
IC Document
Appendix 4. AmeriSpeak Technical Overview.pdf
Appendix 4. AmeriSpeak Technical Overview
IC Document
Appendix 5. Pretest Plan and Scripts.docx
Appendix 5. Pretest Plan and Scripts
IC Document
Appendix 5. Pretest Plan and Scripts.docx
Appendix 5. Pretest Plan and Scripts
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Foodborne Illness Valuation Research
Agency IC Tracking Number:
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
7 CFR 2204
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Acute survey
Appendix 1. US Adult acute survey.docx
Yes
Yes
Fillable Fileable
Other-Chronic survey
Appendix 2. US Adult chronic survey.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Industry Sector Income Stabilization
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,020
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
1,020
0
0
0
0
1,020
Annual IC Time Burden (Hours)
305
0
0
0
0
305
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Part A WTP
Part A WTP.docx
05/02/2023
Appendix 3. Recruitment Plan and Informed Consent
Appendix 3. Recruitment Plan and Informed Consent.docx
05/02/2023
Appendix 4. AmeriSpeak Technical Overview
Appendix 4. AmeriSpeak Technical Overview.pdf
05/02/2023
Appendix 5. Pretest Plan and Scripts
Appendix 5. Pretest Plan and Scripts.docx
05/02/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.