Information Collection

Customer Satisfaction Survey for FDA CFSAN Technical Assistance Network Web Form for Submitting Food Safety Modernization Act Queries

IC 223102 under ICR 201407-0910-016 · 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⚠️ Notice: This information collection may be referencing outdated material.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
CFSAN TAN WebForm Evaluation-Survey-081716.doc	Other-FSMA Inquiry Form - Survey
0360 Justification Memo for OMB for submitting Food Safety and Modernization Queries 8-18-2016.doc Justification Memo for OMB	IC Document

IC Title:

Customer Satisfaction Survey for FDA CFSAN Technical Assistance Network Web Form for Submitting Food Safety Modernization Act Queries

Agency IC Tracking Number:

CFSAN

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-FSMA Inquiry Form - Survey			CFSAN TAN WebForm Evaluation-Survey-081716.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification Memo for OMB	0360 Justification Memo for OMB for submitting Food Safety and Modernization Queries 8-18-2016.doc	08/18/2016

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