Qualitative Research on Food Safety Behaviors Among Dual Caregivers

Documents and Forms

Document Name Document Type
Appendix B USDA FSIS Participant Screener 03012023.docx Other-screener
Appendix C USDA FSIS Consent Information Sheet 02222023.docx Other-consent
Appendix D USDA FSIS Round 1 Interview Guide African American Participants 02222023.docx Other-interview guide
Appendix E USDA FSIS Round 1 Interview Guide Less Acculturated Latino Participants 02222023.docx Other-interview guide
Appendix F USDA FSIS Round 1 Interview Guide More Acculturated Latino Participants 02222023.docx Other-interview guide
Appendix G USDA FSIS Round 2 Interview Guide African American Participants 02222023.docx Other-interview guide
Appendix H USDA FSIS Round 2 Interview Guide Less Acculturated Latino Participants 02222023.docx Other-interview guide
Appendix I USDA FSIS Round 2 Interview Guide More Acculturated Latino Participants 02222023.docx Other-interview guide

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Qualitative Research on Food Safety Behaviors Among Dual Caregivers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-screener	Appendix B USDA FSIS Participant Screener 03012023.docx	Yes	Yes	Fillable Fileable
Other-consent	Appendix C USDA FSIS Consent Information Sheet 02222023.docx	Yes	Yes	Fillable Fileable
Other-interview guide	Appendix D USDA FSIS Round 1 Interview Guide African American Participants 02222023.docx	No		Printable Only
Other-interview guide	Appendix E USDA FSIS Round 1 Interview Guide Less Acculturated Latino Participants 02222023.docx	No		Printable Only
Other-interview guide	Appendix F USDA FSIS Round 1 Interview Guide More Acculturated Latino Participants 02222023.docx	No		Printable Only
Other-interview guide	Appendix G USDA FSIS Round 2 Interview Guide African American Participants 02222023.docx	No		Printable Only
Other-interview guide	Appendix H USDA FSIS Round 2 Interview Guide Less Acculturated Latino Participants 02222023.docx	No		Printable Only
Other-interview guide	Appendix I USDA FSIS Round 2 Interview Guide More Acculturated Latino Participants 02222023.docx	No		Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,536	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,536	1,536
Annual IC Time Burden (Hours)	114	114
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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