Information Collection

Food safety knowledge, attitudes, and practices survey of correctional workers

IC 264374 under ICR 202602-0920-007 · OMB 0920-1429.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1429 Food safety knowledge, attitudes, and practices survey of correctional workers Food safety knowledge, attitudes, and practices survey of correctional workers	Form and Instruction
0920-1429 Food safety knowledge, attitudes, and practices survey o FoodSafety_Survey_PostSurvey_Clean.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

0920-23HC/1

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 42 CFR Public Health Service Act (To search for a specific CFR, visit the Code of Federal Regulations.)

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
Form and Instruction	0920-1429			NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	2,500	2,500
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.

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