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 is listed under ICR 202401-0910-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 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All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202401-0910-002 | Revision of a currently approved collection | 2024-08-30 | ||
| 202106-0910-012 | Extension without change of a currently approved collection | 2021-07-29 | Approved without change | |
| 201806-0910-013 | Revision of a currently approved collection | 2018-07-31 | Approved without change | |
| 201507-0910-012 | Extension without change of a currently approved collection | 2015-08-18 | Approved without change | |
| 201211-0910-005 | New collection (Request for a new OMB Control Number) | 2012-11-15 | Approved with change |
OMB Details
2021-2022 - Fast Food Restaurants - Completion of Sections 1 and 3
Federal Enterprise Architecture: Health - Public Health Monitoring