2017-2018 - Completion of Section 2 – All Facility Types

Survey on the Occurrence of Foodborne Illness Risk Factors in Selected Retail and Foodservice Facility Types (2013)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0744 can be found here:

Documents and Forms

Document Name Document Type
ATTACHMENT C DATA COLLECTION FORM 7-30-2015.doc Other-Survey
ATTACHMENT B DATA COLLECTION MARKING INSTRUCTIONS 7-30-2015.doc Other-Instructions

Information Collection (IC) Details

IC Title:	2017-2018 - Completion of Section 2 – All Facility Types	Agency IC Tracking Number:	ORA

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 21 CFR 5.10(a)(2)and(4)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			ATTACHMENT C DATA COLLECTION FORM 7-30-2015.doc		Yes	Yes	Fillable Fileable
Other-Instructions			ATTACHMENT B DATA COLLECTION MARKING INSTRUCTIONS 7-30-2015.doc		Yes	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 800	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	800	712	88
Annual IC Time Burden (Hours)	400	356	44
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.