Bagged Salad and Cyclospora

Real Time Surveys of Consumers` Knowledge, Perceptions and Reported Behavior Concerning Foodborne Illness Outbreaks or Food Recalls

Documents and Forms

Document Name Document Type
Cyclospora and Bagged Salad Screener.doc Other-Interview Screening Instrument
Cyclospora and Bagged Salad Questionnairre.doc Other-Survey
Cyclospora and Bagged Salad Survey Clearance Request.doc Other-Generic Clearance Justificatio

Information Collection (IC) Details

IC Title:	Bagged Salad and Cyclospora	Agency IC Tracking Number:

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-Interview Screening Instrument	Cyclospora and Bagged Salad Screener.doc	Yes	Yes	Fillable Fileable
Other-Survey	Cyclospora and Bagged Salad Questionnairre.doc	Yes	Yes	Fillable Fileable
Other-Generic Clearance Justification Memo	Cyclospora and Bagged Salad Survey Clearance Request.doc	Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	10,000	0	0	0	0	0
Annual IC Time Burden (Hours)	1,725	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	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.