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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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Document Metadata
| File Type | application/msword |
|---|---|
| File Title | Customer Satisfaction Survey for Evaluation of the 20.88 Single Signature Long-Term Information Sharing Agreement |
| Author | Czabaranek, Christina |
| Last Modified By | Writer |
| File Modified | 2015-11-06 |
| File Created | 2026-10-08 |
| Conversion State | complete |
Extracted Text
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.