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FSIS

Web Content Viewer (JSR 286)

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Web Content Viewer (JSR 286)

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Web Content Viewer (JSR 286)

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Web Content Viewer (JSR 286)

Actions
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Web Content Viewer (JSR 286)

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Request a Visit from the Food Safety Discovery Zone

This form may be submitted by persons who wish to request a visit from the USDA Food Safety Discovery Zone.

Submission of this form is NOT a guarantee of availability and does not commit USDA to attending the event.
  • After you submit this form, a member of the FSIS Food Safety Education Staff will contact you for further information. Fields marked with an * are required.
  • Email questions to foodsafetymobile@fsis.usda.gov.
Fields marked with * are required.
 
Requestor Information
Name*
Organization*
Title
Address1 *
Address2
City*
State*
Zip*
Phone Number*
Fax Number
Email Address*
Confirm Email Address*
 

Event Information
Start Date of Event
End Date of Event
Time of Event
Name of Event
Location of Event*
Description of Event*
How Did You Hear About the Food Safety Discovery Zone?
Comments and Questions
   

OMB Control Number. 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 0583-0133. The time required to complete this information collection is estimated to average 5 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.

Last Modified Dec 17, 2014