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Professional Services to Support Requirements Gathering Sessions for Safe Food Handling
Professional Services to Support Requirements Gathering Sessions for Safe Food Handling
OMB: 0583-0166
IC ID: 216568
OMB.report
USDA/FSIS
OMB 0583-0166
ICR 201505-0583-001
IC 216568
( )
Documents and Forms
Document Name
Document Type
0527App B_Pre_Questionnaire_ENG_SPA_final.docx
Other-pre-questionnaire
0527App E_Screening Questionnaires_ENG_SPA_final.doc
Other-screening questionnaire
0527App C_Post_Questionnaire_ENG_SPA_Final.docx
Other-post-questionnaire
0527App A moderator guide_ENG_SPA_final.doc
Moderator Guide
IC Document
0527App D_IRB Approval Form.doc
IRB Approval Form
IC Document
0527App F_ Consent Form .docx
Consent Form
IC Document
0527Appendix G- confirmation letter.doc
Confirmation Letter
IC Document
Appendix_A.2_10_7_15.docx
Participant Handouts
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Professional Services to Support Requirements Gathering Sessions for Safe Food Handling
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-pre-questionnaire
0527App B_Pre_Questionnaire_ENG_SPA_final.docx
No
Paper Only
Other-screening questionnaire
0527App E_Screening Questionnaires_ENG_SPA_final.doc
No
Paper Only
Other-post-questionnaire
0527App C_Post_Questionnaire_ENG_SPA_Final.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
480
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
480
0
480
0
0
0
Annual IC Time Burden (Hours)
157
0
157
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Moderator Guide
0527App A moderator guide_ENG_SPA_final.doc
05/28/2015
IRB Approval Form
0527App D_IRB Approval Form.doc
05/28/2015
Consent Form
0527App F_ Consent Form .docx
05/28/2015
Confirmation Letter
0527Appendix G- confirmation letter.doc
05/28/2015
Participant Handouts
Appendix_A.2_10_7_15.docx
11/02/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.