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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CDRH Customer Satisfaction Survey	Agency IC Tracking Number:

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-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 %

	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

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.