Foodborne Illness Valuation Research

Generic Clearance for Survey Research Studies

OMB: 0536-0073

IC ID: 259519

Documents and Forms

Document Name Document Type
Appendix 1. US Adult Acute Survey.docx Other-Acute Survey
Appendix 1. US Adult Acute Survey.docx Other-Acute Survey
Appendix 2. US Adult Severe Survey.docx Other-Severe Survey
Appendix 2. US Adult Severe Survey.docx Other-Severe Survey
Part A WTP.docx Part A WTP IC Document
Part A WTP.docx Part A WTP IC Document
Appendix 3. Recruitment Plan and Informed Consent.docx Appendix 3. Recruitment Plan and Informed Consent IC Document
Appendix 3. Recruitment Plan and Informed Consent.docx Appendix 3. Recruitment Plan and Informed Consent IC Document
Appendix 4. AmeriSpeak Technical Overview.pdf Appendix 4. AmeriSpeak Technical Overview IC Document
Appendix 4. AmeriSpeak Technical Overview.pdf Appendix 4. AmeriSpeak Technical Overview IC Document
Appendix 5. Pretest Plan and Scripts.docx Appendix 5. Pretest Plan and Scripts IC Document
Appendix 5. Pretest Plan and Scripts.docx Appendix 5. Pretest Plan and Scripts IC Document
Appendix 6. US Foodborne Illness WTP Survey_Discrete Choice Experiment Design.docx Appendix 6. US Foodborne Illness WTP Survey_Discrete Choice Experiment Design IC Document
Appendix 6. US Foodborne Illness WTP Survey_Discrete Choice Experiment Design.docx Appendix 6. US Foodborne Illness WTP Survey_Discrete Choice Experiment Design IC Document
Appendix 7. US Foodborne Illness WTP Survey_Severe illness descriptions.docx Appendix 7. US Foodborne Illness WTP Survey_Severe illness descriptions IC Document
Appendix 7. US Foodborne Illness WTP Survey_Severe illness descriptions.docx Appendix 7. US Foodborne Illness WTP Survey_Severe illness descriptions IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Foodborne Illness Valuation Research	Agency IC Tracking Number:

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 2204

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Acute Survey			Appendix 1. US Adult Acute Survey.docx		Yes	Yes	Fillable Fileable
Other-Severe Survey			Appendix 2. US Adult Severe Survey.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,020	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,020	1,020
Annual IC Time Burden (Hours)	305	305
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Part A WTP	Part A WTP.docx	05/02/2023
Appendix 3. Recruitment Plan and Informed Consent	Appendix 3. Recruitment Plan and Informed Consent.docx	05/02/2023
Appendix 4. AmeriSpeak Technical Overview	Appendix 4. AmeriSpeak Technical Overview.pdf	05/02/2023
Appendix 5. Pretest Plan and Scripts	Appendix 5. Pretest Plan and Scripts.docx	05/02/2023
Appendix 6. US Foodborne Illness WTP Survey_Discrete Choice Experiment Design	Appendix 6. US Foodborne Illness WTP Survey_Discrete Choice Experiment Design.docx	05/07/2024
Appendix 7. US Foodborne Illness WTP Survey_Severe illness descriptions	Appendix 7. US Foodborne Illness WTP Survey_Severe illness descriptions.docx	05/07/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.