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

Customer/Partner Service Surveys

⚠️ Notice: This information collection may be referencing outdated material.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

Information Collection (IC) Details

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:

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 %

	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

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.