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Customer Satisfaction Survey for Evaluation of the 20.88 Single Signature Long-Term Information Sharing Agreement

ICR 201407-0910-016 · OMB 0910-0360 · Object 60068501.

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Customer Satisfaction Survey for Evaluation of the 20.88 Single Signature Long-Term Information Sharing Agreement
Czabaranek, Christina
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2015-11-06
2026-10-08
complete

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State/Local Agency 20.88 Single Signature Long-Term Food Information Sharing Agreement Survey



Thank you for participating in the 20.88 Single Signature Long-Term Food Information Sharing Agreement survey! Unlike Commissioning, which is for a specific employee, the 20.88 Single Signature Long-Term Food Information Sharing Agreement is a streamlined “blanket” process for sharing non-public food safety information that requires a written agreement between FDA and a specific agency. The purpose of this survey is to assess the satisfaction and utilization of the 20.88 Single Signature Long-Term Food Agreement among participating State/local agencies. The results from this survey will remain anonymous and will be used to inform further implementation of the 20.88 Single Signature Long-Term Food Information Sharing Agreement. The survey contains 23 questions and will take about 10 minutes to complete.

Your participation / nonparticipation is completely voluntary and your responses will not have an effect on your eligibility for receipt of any FDA services. 

If you have any questions or concerns about the survey, please contact Lacreisha Ejike-King at [email protected] or 240-402-2633.




    1. Why did your agency choose to establish a 20.88 Single Signature Long-Term Food Agreement with FDA? (Select all that apply)
        a. My agency requests information often.
        b. My agency hires new employees often.
        c. My agency participates in joint investigations often.
        d. I’m not sure why my agency chose to establish an agreement.
        e. Other (Please specify): 


    2. How difficult was the process of establishing a 20.88 Single Signature Long-Term Food Agreement with FDA?
        a. Very easy
        b. Somewhat easy
        c. Neutral 
        d. Somewhat difficult 
        e. Very difficult 

    3. How could the process of establishing a 20.88 Single Signature Long-Term Food Agreement with FDA be improved?







    4. How adequate is guidance from FDA concerning the following aspects under a 20.88 Single Signature Long-Term Food Agreement?


Completely Adequate
Somewhat Adequate
Somewhat Inadequate
Completely Inadequate
Requesting Information




Using Information




Sharing Information Externally






    5. How could guidance from FDA on any aspect of 20.88 Single Signature Long-Term Food Agreements be improved?


    6. Has your agency requested information from FDA since establishing a 20.88 Single Signature Long-Term Food Agreement?
        a. Yes (go to 8)
        b. No
        c. I don’t know (go to 17)

    7. Why has your agency not requested information from FDA since signing the 20.88 Single Signature Food Agreement?  (Select all that apply) 
        a. We have not had a need to request information from FDA. (Go to 17)
        b. We are not sure what information can be requested from FDA. (Go to 17)
        c. We are not sure how to request information from FDA. (Go to 17)
        d. I’m not sure why my agency has not made a request. (Go to 17)
        e. Other (please specify):  (Go to 17)

    8. How many times has your agency requested information from FDA since establishing a 20.88 Single Signature Long-Term Food Agreement?
        a. 1-3
        b. 4-6
        c. 7-9
        d. 10 or more (please estimate how many): 

    9. What was the nature of your information request(s)? (Select all that apply) 
        a. Outbreak
        b. Recall data
        c. Data about a firm
        d. Data about a product
        e. Other (Please specify): 


    10. How difficult is the process for requesting information from FDA under a 20.88 Single Signature Long-Term Food Agreement?
        a. Very easy 
        b. Somewhat easy 
        c. Neutral 
        d. Somewhat difficult 
        e. Very difficult 

    11. How could the process for requesting information from FDA under a 20.88 Single Signature Long-Term Food Agreement be improved?






    12. On average, how many working days does it take from information request to information receipt utilizing the 20.88 Single Signature Long-Term Food Agreement for these types of requests?


Less Than 1 Day
1-2 Days
3-4 Days
5 or more Days
N/A
Outbreaks





Recalls





Firm Data





Product Data






    13. How satisfied are you with the amount of time it takes on average to receive the information that you request utilizing the 20.88 Single Signature Long-Term Agreement?
        a. Very satisfied
        b. Satisfied
        c. Neither satisfied nor dissatisfied
        d. Dissatisfied
        e. Very dissatisfied

    14. How often has the information received met your needs?
        a. Always (go to 16)
        b. Sometimes (go to 15)
        c. Rarely (go to 15)
        d. Never (go to 15)


    15. Why has the information received not met your needs?



    16. How often is the information delivered in the most appropriate file format?
        a. Always
        b. Sometimes
        c. Rarely
        d. Never




    17. What is the likelihood that your agency would sign another 20.88 Single Signature Long-Term Food Agreement in 2019?
        a. Very likely (go to 19)
        b. Likely (go to 19)
        c. Unlikely (go to 18)
        d. Very unlikely (go to 18)

    18. Why do you think that your agency would not sign another 20.88 Single Signature Long-Term Food Agreement in 2019? (go to 20)


    19. Why do you think that your agency would sign another 20.88 Single Signature Long-Term Food Agreement in 2019?




    20. Is there anything else concerning your experience with the 20.88 Single Signature Long-Term Food Agreement that you would like us to know?




    21. What type of agency do you represent?
        a. State health department
        b. County/local health department
        c. University
        d. Department of agriculture
        e. Laboratory
        f. Other (Please specify): 

    22. In what state is your agency located?
<Drop down list of states>
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware 
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming

Other (please specify): 

    23. What is your role in your agency?
        a. Management
        b. Epidemiology
        c. Lab analysis
        d. Rapid Response Team member
        e. Other (Please specify): 






Once you click “Done”, your responses will be submitted and you will not be able to edit your responses. If you have any questions or concerns about the survey, please contact Lacreisha Ejike-King at [email protected]. Thank you for completing this survey!
 
Paperwork Reduction Act Information: Public reporting burden for this collection of information is estimated to average 10 minutes per response. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing burden to: Christina Czabaranek, 12420 Parklawn Drive, Rockville, MD 20857.Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a penalty to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act, unless that collection of information displays a currently valid OMB Control Number. 
OMB Control No. XXXX-XXXX. Expiration Date: XX/XX/20XX.