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Federal forms, ICRs, and supporting documents

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.

Documents and Forms
Document Name
Document Type
Other-FSMA Inquiry Form - Survey
IC Document
Information Collection (IC) Details

View Information Collection (IC)

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

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

Health Health Care Services

 

5,000 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 5,000 0 5,000 0 0 0
Annual IC Time Burden (Hours) 167 0 167 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.