Survey on the Occurrence of Foodborne Illness Risks Factors in Selected Institutional Foodservice and Retail Food Stores Facility Types

OMB 0910-0799

This ICR collects information on the occurrence of foodborne illness risk factors in select healthcare facilities, schools (K-12), and retail food stores. 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 Risks Factors in Selected Institutional Foodservice and Retail Food Stores Facility Types expires 2021-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
0799_Supporting Statement Part A_2021.docx Supporting Statement A
0799_Supporting Statement Part B_2021.docx Supporting Statement B
Attachment E - CDC-FDA Data Collection Collaboration.pdf Supplementary Document
Attachment D - Introduction Letter.pdf Supplementary Document
Attachment A - Risk Factor Study Protocol.pdf Supplementary Document
Data Collection-Entry Refusals Instruction
Data Collection (Retail Food Stores) -Completion of Section 2 Instruction
Retail Food Stores - Completion of Sections 1 and 3 Instruction

All Historical Document Collections

202108-0910-002 Approved without change	Extension without change of a currently approved collection	2021-08-25
201909-0910-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2019-09-12
201806-0910-014 Approved without change	Reinstatement without change of a previously approved collection	2018-08-08
201506-0910-021 Approved without change	New collection (Request for a new OMB Control Number)	2015-06-25

OMB Details

2019-2020 Healthcare Facilities - Completion of Sections 1 and 3

Federal Enterprise Architecture: Health - Public Health Monitoring