OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Assessment of Ill Worker Policies Study

OMB 0920-1227 ยท HHS/CDC.

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 is listed under ICR 201711-0920-008.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Resaturant intervention log - control restaurantsForm and Instruction
Restaurant intervention log - intervention restaurantsForm
Form 0920-1227 Manager Consent and Interview - control restaurantsForm and Instruction
Restaurant ObservationForm and Instruction
Manager Consent and InterviewForm and Instruction
Manager Recruiting ScriptForm 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.docxSupporting Statement B
1 - SSA Ass Ill Wrkr Plcy 201228.docxSupporting 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All Historical Document Collections

Historical document collections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

OMB Details

Manager Recruiting Script

Federal Enterprise Architecture: Health - Illness Prevention