Study

Comparing Food Safety Knowledge, Attitude and Behavior Among English-Dominant Hispanics, Spanish-Dominant Hispanics, and Other Consumers

Documents and Forms

Document Name Document Type
Appendix D - Study Questionnaire English-062316.docx Other-Survey
Study Questionnaire Spanish-062316.docx Other-Survey
Study Questionnaire Screenshots English-062316.docx Other-Screenshot
Study Questionnaire Screenshots Spanish-062316.docx Other-Screenshots

Information Collection (IC) Details

IC Title:	Study	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screenshots	Study Questionnaire Screenshots Spanish-062316.docx	Yes	Yes	Paper Only
Other-Survey	Appendix D - Study Questionnaire English-062316.docx	Yes	Yes	Fillable Fileable
Other-Screenshot	Study Questionnaire Screenshots English-062316.docx	Yes	Yes	Paper Only
Other-Survey	Study Questionnaire Spanish-062316.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	750	750
Annual IC Cost Burden (Dollars)	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.