Assessment of Ill Worker Policies Study

OMB 0920-1227

The Environmental Health Specialists Network (EHS-Net) program, conducts research designed to identify and understand environmental factors associated with foodborne illness and other food safety issues. The purpose of this data collection is to assess whether an educational intervention will result in restaurants developing enhanced ill worker management plans to keep an ill food worker away from work and reduce the risk of transmission of illness from that worker to the public.

The latest form for Assessment of Ill Worker Policies Study expires 2021-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Resaturant intervention log - control restaurants Form and Instruction
Restaurant intervention log - intervention restaurants Form
Form 0920-1227 Manager Consent and Interview - control restaurants Form and Instruction
Restaurant Observation Form and Instruction
Manager Consent and Interview Form and Instruction
Manager Recruiting Script Form and Instruction
Ill Worker Protocol (body) 220223.docx Supplementary Document
OMB non-substantive change request.docx Justification for No Material/Nonsubstantive Change
P_Att 6 Participation Log 201211.xlsx Supplementary Document
P_Att 5a Sick Food Worker Toolkit 201211.docx Supplementary Document
P_Att 1 Study Advertisement Template 201211.docx Supplementary Document
Ill Worker Protocol (body) 201211.docx Supplementary Document
App F STARS Determination.pdf Supplementary Document
App E Privacy Impact Assessment.pdf Supplementary Document
App D EHS-Net Publications.docx Supplementary Document
App C EHS-Net Industry Partners.docx Supplementary Document
App B 60-day FRN 200914.pdf Supplementary Document
App A Authorizing Legislation.pdf Supplementary Document
1 - SSB Ass Ill Wrkr Plcy 201211.docx Supporting Statement B
1 - SSA Ass Ill Wrkr Plcy 201228.docx Supporting Statement A
Resaturant intervention log - control restaurants Form and Instruction
Restaurant intervention log - intervention restaurants Form
Manager Consent and Interview - control restaurants Form and Instruction
Restaurant Observation Form and Instruction
Manager Consent and Interview Form and Instruction
Manager Recruiting Script Form and Instruction

All Historical Document Collections

202204-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-04-18
202101-0920-005 Approved without change	Revision of a currently approved collection	2021-02-08
201711-0920-008 Approved with change	New collection (Request for a new OMB Control Number)	2017-11-13

OMB Details

Manager Recruiting Script

Federal Enterprise Architecture: Health - Illness Prevention