Information Collection

Qualitative Research on Food Safety Behaviors Among Dual Caregivers

IC 264674 under ICR 202312-0583-003 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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