OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Qualitative Research on Food Safety Behaviors Among Dual Caregivers

IC 264674 under ICR 202404-0583-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Appendix B USDA FSIS Participant Screener 040524.docx Other-screener
Appendix B USDA FSIS Participant Screener 040524.docx Other-screener
Appendix C USDA FSIS Participant Screener_Spanish 040524.docx Other-screener
Appendix C USDA FSIS Participant Screener_Spanish 040524.docx Other-screener
Appendix D USDA FSIS Consent Information Sheet 040524.docx Other-consent
Appendix D USDA FSIS Consent Information Sheet 040524.docx Other-consent
Appendix E USDA FSIS Consent Information Sheet_Spanish 040524.docx Other-consent
Appendix E USDA FSIS Consent Information Sheet_Spanish 040524.docx Other-consent
Appendix F USDA FSIS Round 1 Interview Guide African American Participants 040524.docx Other-interview guide
Appendix F USDA FSIS Round 1 Interview Guide African American Participants 040524.docx Other-interview guide
Appendix G USDA FSIS Round 1 Interview Guide More Acculturated Latino Participants 040524.docx Other-interview guide
Appendix G USDA FSIS Round 1 Interview Guide More Acculturated Latino Participants 040524.docx Other-interview guide
Appendix H USDA FSIS Round 1 Interview Guide Less Acculturated Latino Participants 040524_clean.docx Other-interview guide
Appendix H USDA FSIS Round 1 Interview Guide Less Acculturated Latino Participants 040524_clean.docx Other-interview guide
Appendix I USDA FSIS Round 2 Interview Guide African American Participants 040524.docx Other-interview guide
Appendix I USDA FSIS Round 2 Interview Guide African American Participants 040524.docx Other-interview guide
Appendix J USDA FSIS Round 2 Interview Guide More Acculturated Latino Participants 040524.docx Other-interview guide
Appendix J USDA FSIS Round 2 Interview Guide More Acculturated Latino Participants 040524.docx Other-interview guide
Appendix K USDA FSIS Round 2 Interview Guide Less Acculturated Latino Participants 040524_clean.docx Other-interview guide
Appendix K USDA FSIS Round 2 Interview Guide Less Acculturated Latino Participants 040524_clean.docx Other-interview guide

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 B USDA FSIS Participant Screener 040524.docx Yes Yes Fillable Fileable
Other-screener Appendix C USDA FSIS Participant Screener_Spanish 040524.docx Yes Yes Fillable Fileable
Other-consent Appendix D USDA FSIS Consent Information Sheet 040524.docx Yes Yes Fillable Fileable
Other-consent Appendix E USDA FSIS Consent Information Sheet_Spanish 040524.docx Yes Yes Fillable Fileable
Other-interview guide Appendix F USDA FSIS Round 1 Interview Guide African American Participants 040524.docx No   Printable Only
Other-interview guide Appendix G USDA FSIS Round 1 Interview Guide More Acculturated Latino Participants 040524.docx No   Printable Only
Other-interview guide Appendix H USDA FSIS Round 1 Interview Guide Less Acculturated Latino Participants 040524_clean.docx No   Printable Only
Other-interview guide Appendix I USDA FSIS Round 2 Interview Guide African American Participants 040524.docx No   Printable Only
Other-interview guide Appendix J USDA FSIS Round 2 Interview Guide More Acculturated Latino Participants 040524.docx No   Printable Only
Other-interview guide Appendix K USDA FSIS Round 2 Interview Guide Less Acculturated Latino Participants 040524_clean.docx No   Printable Only

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 1,536 0 1,536 0 0 0
Annual IC Time Burden (Hours) 114 0 114 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.