Information Collection

CDRH Customer Satisfaction Survey

IC 210858 under ICR 201107-0910-011 · OMB 0910-0360.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0360 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
GENERIC 0360 CDRH-CustSat-Survey-Em-Ph-Mtg-F (2).pdf	Other-Customer Satisfaction Survey
GENERIC 0360 CDRH customer satisfaction Survey--OMB Justification.doc Abbreviated Supporting Statement	IC Document

IC Title:

CDRH Customer Satisfaction Survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Customer Satisfaction Survey			GENERIC 0360 CDRH-CustSat-Survey-Em-Ph-Mtg-F (2).pdf		Yes	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7,500	7,500
Annual IC Time Burden (Hours)	1,250	1,250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Abbreviated Supporting Statement	GENERIC 0360 CDRH customer satisfaction Survey--OMB Justification.doc	04/03/2014

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