Federal Select Agent Program Inspection Feedback Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

Documents and Forms

Document Name Document Type
Federal Select Agent Program Inspection Feedback Survey Form and Instruction
Federal Select Agent Program Inspection Feedback Survey Att1-FedSAPInspectSurvey 13APR2016.docx Form and Instruction
0920-1050-OPHPR-Federal Select Agent Inspection Survey- Request for Approval AG 14APR2016.docx GenIC Request IC Document

Information Collection (IC) Details

IC Title:	Federal Select Agent Program Inspection Feedback Survey	Agency IC Tracking Number:	16ABL

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
Form and Instruction	NA	Federal Select Agent Program Inspection Feedback Survey	Att1-FedSAPInspectSurvey 13APR2016.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 292	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	292	292
Annual IC Time Burden (Hours)	97	97
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Request	0920-1050-OPHPR-Federal Select Agent Inspection Survey- Request for Approval AG 14APR2016.docx	04/14/2016

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