Information Collection

[NCEZID] Food Safety Communication Evaluation: Assessing Food Safety Messages, Knowledge, and Attitudes

IC 259053 under ICR 202507-0920-005 · OMB 0920-1154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
[NCEZID] Food Safety Communication Evaluation: Assessing Food Safety Messages, Knowledge, and Attitudes	Form and Instruction
Eligibility Screener for Focus Group [NCEZID] Food Safety Communication Evaluation: Assessing Food Safety Messages, Knowledge, and Attitudes	Form and Instruction
[Additional] Eligible Participant Screener for Focus Group [NCEZID] Food Safety Communication Evaluation: Assessing Food Safety Messages, Knowledge, and Attitudes	Form and Instruction
Focus Group Moderator Guide [NCEZID] Food Safety Communication Evaluation: Assessing Food Safety Messages, Knowledge, and Attitudes	Form and Instruction
Eligibility Screener for Rapid Survey [NCEZID] Food Safety Communication Evaluation: Assessing Food Safety Messages, Knowledge, and Attitudes	Form and Instruction
Rapid Survey [NCEZID] Food Safety Communication Evaluation: Assessing Food Safety Messages, Knowledge, and Attitudes	Form and Instruction
Attachment #10- Screenshots of Elligibility Screener for Survey.docx	Other-Screenshots of the Eligibility
Attachment #10- Screenshots of Elligibility Screener for Survey.docx	Other-Screenshots of the Eligibility
Attachment #12- Screenshots of survey.docx	Other-Screenshots of the Rapid Surve
Attachment #12- Screenshots of survey.docx	Other-Screenshots of the Rapid Surve
Eligibility Screener for Focus Group Attachment #1 - Eligibility Screener.docx	Form and Instruction
Eligibility Screener for Focus Group Attachment #1 - Eligibility Screener.docx	Form and Instruction
[Additional] Eligible Participant Screener for Focus Gro Attachment #3 - Eligible Participant Screener_FG.docx	Form and Instruction
[Additional] Eligible Participant Screener for Focus Gro Attachment #3 - Eligible Participant Screener_FG.docx	Form and Instruction
Focus Group Moderator Guide Attachment #8 - Focus Group Moderator Guide .docx	Form and Instruction
Focus Group Moderator Guide Attachment #8 - Focus Group Moderator Guide .docx	Form and Instruction
Eligibility Screener for Rapid Survey Attachment #9 - Eligibilty Survey for Rapid Survey_03232023.docx	Form and Instruction
Eligibility Screener for Rapid Survey Attachment #9 - Eligibilty Survey for Rapid Survey_03232023.docx	Form and Instruction
Rapid Survey Attachment #11 - Rapid Survey.docx	Form and Instruction
Rapid Survey Attachment #11 - Rapid Survey.docx	Form and Instruction
Supporting Statement A_03232023.docx Supporting Statement Part A	IC Document
Supporting Statement A_03232023.docx Supporting Statement Part A	IC Document
Supporting Statement B.docx Supporting Statement Part B	IC Document
Supporting Statement B.docx Supporting Statement Part B	IC Document
Attachment #2 - Recruitment Materials_FG.docx Recruitment Materials for Focus Group Participants	IC Document
Attachment #2 - Recruitment Materials_FG.docx Recruitment Materials for Focus Group Participants	IC Document
Attachment #4 - Privacy Agreement.docx Privacy Agreement for Data Collection Contractor	IC Document
Attachment #4 - Privacy Agreement.docx Privacy Agreement for Data Collection Contractor	IC Document
Attachment #5 - Respondent Consent Form_FG_03232023.docx Consent Form for Focus Group Participants	IC Document
Attachment #5 - Respondent Consent Form_FG_03232023.docx Consent Form for Focus Group Participants	IC Document
Attachment #6 - Standard Invitation_FG.docx Invitation for Focus Group Participants	IC Document
Attachment #6 - Standard Invitation_FG.docx Invitation for Focus Group Participants	IC Document
Attachment #7 - Participant Confirmation Email_FG.docx Confirmation Email for Focus Group Participants	IC Document
Attachment #7 - Participant Confirmation Email_FG.docx Confirmation Email for Focus Group Participants	IC Document
Attachment #12 - Respondent Consent Form_Survey.docx Consent Form for Survey Participants	IC Document
Attachment #12 - Respondent Consent Form_Survey.docx Consent Form for Survey Participants	IC Document
Attachment #13 - Recruitment Materials_Survey_03232023.docx Recruitment Materials for Survey Participants	IC Document
Attachment #13 - Recruitment Materials_Survey_03232023.docx Recruitment Materials for Survey Participants	IC Document
Attachment #14- messages to be tested.docx Food Safety Messages to be Tested	IC Document
Attachment #14- messages to be tested.docx Food Safety Messages to be Tested	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[NCEZID] Food Safety Communication Evaluation: Assessing Food Safety Messages, Knowledge, and Attitudes

Agency IC Tracking Number:

0920-1154-23DK

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Yes	Yes	Fillable Fileable
Form and Instruction	None	Yes	Yes	Fillable Fileable
Form and Instruction	None	Yes	Yes	Fillable Fileable
Form and Instruction	None	Yes	Yes	Fillable Fileable
Form and Instruction	None	Yes	Yes	Fillable Fileable
Other-Screenshots of the Eligibility Screener for the Rapid Survey		Yes	Yes	Fillable Fileable
Other-Screenshots of the Rapid Survey		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,474

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	3,474	3,474
Annual IC Time Burden (Hours)	522	522
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement Part A		03/23/2023
Supporting Statement Part B		03/23/2023
Recruitment Materials for Focus Group Participants		03/23/2023
Privacy Agreement for Data Collection Contractor		03/23/2023
Consent Form for Focus Group Participants		03/23/2023
Invitation for Focus Group Participants		03/23/2023
Confirmation Email for Focus Group Participants		03/23/2023
Consent Form for Survey Participants		03/23/2023
Recruitment Materials for Survey Participants		03/23/2023
Food Safety Messages to be Tested		03/23/2023

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].