0448 Questionnaire 4-11-2007

OMB Number: 0910-0448

Expiration Date:

FDA Food Code Adoption Survey Form

Agency Name:

Agency Address:

Respondent Name:

Phone:

Fax:

E-mail:

Survey response date: ________________________

1. Is your current retail/foodservice regulation modeled after a version of the FDA Model Food Code? If so, which version? (This does not mean that you necessarily adopted every provision of the Model Food Code, but that it served as the pattern for your regulations.)

___ 1993 ___ 1995 ___ 1997 ___ 1999 ___ 2001

2. If your regulation is modeled after one of the above versions, did you encounter any obstacles or objections during the rulemaking or legislative process? Name the top 3 obstacles you encountered from elected officials, board of health members, local health agencies, industry stakeholders, trade associations, or consumer advocates, etc., and how those were resolved.

3. Does your current regulation lack elements of the FDA Model Food Code that should have been included? If so, briefly describe them.

4. Are you in the rulemaking or legislative process to revise your retail/foodservice regulations?

___ Yes. Estimated target date for completion: ____________________________________

___ No

If yes, please check one of the following:

___ We plan to adopt the 2005 Model Food Code in its entirety, or substantially so.

___We plan to adopt most of the 2005 Model Food Code, but not the following provisions:

__________________________________________________________________________

___ We plan to adopt only selected provisions of the 2005 Model Food Code and incorporate them into our existing state agency regulations. Please list those provisions:

_________________________________________________________________________

___ We plan to adopt the 2001 Model Food Code in its entirety, or substantially so.

___ We plan to adopt most of the 2001 Model Food Code, but not the following provisions: _________________________________________________________________________

___ We plan to adopt only selected provisions of the 2001 Model Food Code and incorporate them into our existing state agency regulations. Please list those provisions:

_______________________________________________________________________________

Please check the following, if applicable:

___We plan to adopt certain CFP recommendations and incorporate them into our existing state agency regulations. Please list those CFP recommendations:

___Other – please describe: _______________________________________________________

5. What assistance could the FDA provide that would improve or make the adoption process easier in terms of technical assistance, financial assistance, or advocacy?

6. Has your agency enrolled in the Voluntary National Retail Food Regulatory Program Standards (Program Standards)? Yes _____ NO ______ If Yes, what is the date of enrollment? _________________

7. If enrolled in the Program Standards, has your agency completed a self-assessment to determine conformance with Program Standard #1, Regulatory Foundation?

If Yes, did the self-assessment indicate that your agency meets Program Standard #1? YES __ NO __ Uncertain __