OMB control number

Survey on the Occurrence of Foodborne Illness Risk Factors in Selected Restaurant and Retail Foodservice Facility Types

OMB 0910-0744 · HHS/FDA.

OMB 0910-0744

This ICR collects information on the occurrence of foodborne illness risk factors in full service and fast food restaurants. Foodborne illness risk factors are defined as the preparation practices and employee behaviors most commonly reported to the Centers for Disease Control and Prevention (CDC) as contributing factors to foodborne illness outbreaks at the retail level.

The latest form for Survey on the Occurrence of Foodborne Illness Risk Factors in Selected Restaurant and Retail Foodservice Facility Types expires 2027-10-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
0744 Supporting Statement Part A 2024 (1).docx Supporting Statement A
0744_Supporting Statement Part B 2024.docx Supporting Statement B
ICR Attachment E_CDC-FDA Data Collection Collaboration.pdf Supplementary Document
ICR Attachment D_Intro Letter combined 0744.pdf Supplementary Document
ICR Attachment A_RiskFactorStudy_Protocol_ 2-22-24.pdf Supplementary Document
Retail Food Stores - Form FDA 3967 Instruction
Refusal Other-Instructions
Fast-Food and Full-Service Restaurants--Form FDA 3966 Other-Instructions
2021-2022 - Full Service Restaurants - Completion of Sections 1 and 3 Other-Instructions
2021-2022 - Fast Food Restaurants - Completion of Sections 1 and 3 Other-Instructions

All Historical Document Collections

202401-0910-002	Revision of a currently approved collection	2024-08-30
202106-0910-012 Approved without change	Extension without change of a currently approved collection	2021-07-29
201806-0910-013 Approved without change	Revision of a currently approved collection	2018-07-31
201507-0910-012 Approved without change	Extension without change of a currently approved collection	2015-08-18
201211-0910-005 Approved with change	New collection (Request for a new OMB Control Number)	2012-11-15

OMB Details

2021-2022 - Fast Food Restaurants - Completion of Sections 1 and 3

Federal Enterprise Architecture: Health - Public Health Monitoring