ID#: ____________
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0583-xxxx. The time required to complete this information collection is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
For each frozen food product listed below:
Check “yes” or “no” to indicate whether you have ever prepared the product.
Circle “1” if you think the product is not-ready-to-eat; that is, you think the product requires cooking for safety.
Circle “2” if you think the product is ready-to-eat; that is, you think the product does not require cooking for safety.
Circle “3” if you are not sure whether the product is not-ready-to-eat or ready-to-eat.
Product |
Have You Prepared This Product Before? |
Not-Ready-to-Eat |
Ready-to-Eat |
Not Sure |
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|
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1. Chicken and mashed potatoes dinner |
yes |
no |
1 |
2 |
3 |
2. Hamburger patties |
yes |
no |
1 |
2 |
3 |
3. Pepperoni pizza |
yes |
no |
1 |
2 |
3 |
4. Chicken Cordon Bleu |
yes |
no |
1 |
2 |
3 |
5. Breaded chicken nuggets |
yes |
no |
1 |
2 |
3 |
6. Chicken bites |
yes |
no |
1 |
2 |
3 |
7. Breaded chicken Kiev |
yes |
no |
1 |
2 |
3 |
8. Lean Pockets® |
yes |
no |
1 |
2 |
3 |
9. Chicken pot pie |
yes |
no |
1 |
2 |
3 |
File Type | application/msword |
File Title | ID#: ____________ |
Author | joconnell |
Last Modified By | joconnell |
File Modified | 2009-09-29 |
File Created | 2009-09-15 |