Survey of Food Safety Programs

Forms and Documents

Document Name	Status
Att11_SurveyFSP_ Follow-up 3 Reminder Telephone_Clean.doc Supplementary Document	2014-06-12
Att10_SurveyFSP_ Follow-up 2 Reminder Email__Clean..doc Supplementary Document	2014-06-12
Att9 _SurveyFSP_Follow-up 1 Reminder Email__Clean.doc Supplementary Document	2014-06-12
Att8 _SurveyFSP_Telephone Script for Recruitment of Health Department Script _Clean..docx Supplementary Document	2014-06-12
Att 7 Survey of Food Safety Program Fact Sheet_Clean.docx Supplementary Document	2014-06-12
Att6 _SurveyFSP_ Participation Request Email__Clean.docx Supplementary Document	2014-06-12
Survey FSPs_Supporting Statement B _Clean.docx Supporting Statement B	2014-06-12
Att 5 EFSPs_IRB3.pdf Supplementary Document	2014-01-16
Att 2 EFSPs_ 60Day_FRN_.pdf Supplementary Document	2014-01-16
Att 1 EFSPs_ AuthLeg.docx Supplementary Document	2014-01-16
Att 9a EFSPs_Cover Correspondence_PaperSurvey.doc Supplementary Document	2014-01-16
Att 10 EFSPs _Telephone Script for Recruitment of Health Department.docx Supplementary Document	2014-01-16
Att 13 EFSPs_ Follow-up 3 Reminder Telephone Call.doc Supplementary Document	2014-01-16
Att 12 EFSPs_ Follow-up 2 Reminder Email.doc Supplementary Document	2014-01-16
Att 11 EFSPs Follow-up 1 Reminder Email.doc Supplementary Document	2014-01-16
Att 8 EFSPs_ Informed Consent Info Sheet.docx Supplementary Document	2014-01-16
Att 6 EFSPs_ Participation Request Email.docx Supplementary Document	2014-01-16
Att 7 EFSPs_Fact Sheet.docx Supplementary Document	2014-01-16
Att 9b EFSPs_Cover Correspondence_ElectronicSurvey.doc Supplementary Document	2014-01-16
Att 10 EFSPs _Telephone Script for Recruitment of Health Department.docx Supplementary Document	2014-01-16
Att 13 EFSPs_ Follow-up 3 Reminder Telephone Call.doc Supplementary Document	2014-01-16
Att 12 EFSPs_ Follow-up 2 Reminder Email.doc Supplementary Document	2014-01-16
Att 11 EFSPs Follow-up 1 Reminder Email.doc Supplementary Document	2014-01-16
Att 8 EFSPs_ Informed Consent Info Sheet.docx Supplementary Document	2014-01-16
Att 6 EFSPs_ Participation Request Email.docx Supplementary Document	2014-01-16
Att 7 EFSPs_Fact Sheet.docx Supplementary Document	2014-01-16
Att 9b EFSPs_Cover Correspondence_ElectronicSurvey.doc Supplementary Document	2014-01-16
Att 10 EFSPs _Telephone Script for Recruitment of Health Department.docx Supplementary Document	2014-01-16
Att 13 EFSPs_ Follow-up 3 Reminder Telephone Call.doc Supplementary Document	2014-01-16
Att 12 EFSPs_ Follow-up 2 Reminder Email.doc Supplementary Document	2014-01-16
Att 11 EFSPs Follow-up 1 Reminder Email.doc Supplementary Document	2014-01-16
Att 8 EFSPs_ Informed Consent Info Sheet.docx Supplementary Document	2014-01-16
Att 7 EFSPs_Fact Sheet.docx Supplementary Document	2014-01-16
Att 6 EFSPs_ Participation Request Email.docx Supplementary Document	2014-01-16
Att 10 EFSPs _Telephone Script for Recruitment of Health Department.docx Supplementary Document	2014-01-16
Att 13 EFSPs_ Follow-up 3 Reminder Telephone Call.doc Supplementary Document	2014-01-16
Att 12 EFSPs_ Follow-up 2 Reminder Email.doc Supplementary Document	2014-01-16
Att 11 EFSPs Follow-up 1 Reminder Email.doc Supplementary Document	2014-01-16
Att 9a EFSPs_Cover Correspondence_PaperSurvey.doc Supplementary Document	2014-01-16
Att 8 EFSPs_ Informed Consent Info Sheet.docx Supplementary Document	2014-01-16
Att 6 EFSPs_ Participation Request Email.docx Supplementary Document	2014-01-16
Att 7 EFSPs_Fact Sheet.docx Supplementary Document	2014-01-16
SurveyofFSPs_Supporting Statement A_Clean.doc Supporting Statement A	2014-06-12

IC Document Collections

IC ID	Document Title	Status
210106	Survey of Food Safety Program (paper) State Health Departments Other-WORD	New
210105	Survey of Food Safety Program (electronic) State Health Departments Other-WORD	New
210104	Survey of Food Safety Program (electronic) Local Health Departments Other-WORD	New
210103	Survey of Food Safety Programs Survey (paper) Local Health Departments Other-WORD	New

ICR Details

OMB Control No: 0920-1021	ICR Reference No: 201401-0920-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 21325
Title: Survey of Food Safety Programs
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/13/2014
	Date Received in OIRA: 01/22/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2016	24 Months From Approved
Responses	190	0	0
Time Burden (Hours)	380	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: Local and state food safety programs (FSPs) are on the frontline of foodborne disease prevention in the U.S. However, in the current economic milieu, these programs along with other public health programs are being eliminated due to funding reductions. The purpose of this study is to 1) describe the current status and activities of local and state FSPs; 2) describe changes in status and activities that occurred within FSPs from 2007-2012; and to 3) determine if there is a relationship between different levels of FSP funding and FSP status and activities. This survey will involve state and local health departments implementing food safety programs in the United States. Data collected will help us better understand the relationship between different levels of funding and FSP activities.

---

Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 54652	09/05/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 3206	01/17/2014
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Survey of Food Safety Programs Survey (paper) Local Health Departments
Survey of Food Safety Program (electronic) Local Health Departments
Survey of Food Safety Program (electronic) State Health Departments
Survey of Food Safety Program (paper) State Health Departments

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	190	0	0	190	0	0
Annual Time Burden (Hours)	380	0	0	380	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new data collection request.

---

Annual Cost to Federal Government: $15,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/22/2014

---