Form 0920-1050 2019 Federal Select Agent Program Inspection Feedback Su

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

Att1-2018FSAPSurvey

2018 Federal Select Agents Program Inspection Feedback Survey

OMB: 0920-1050

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Form Approved

OMB Approval No. 0920-1050

Expiration Date: 02/18/2018

2018 Federal Select Agent Program Inspection Feedback Survey

Unless otherwise indicated, please use the space provided at the end of the survey (question 19) to share any additional feedback or context that would help to explain your answers, and/or to provide further suggestions for FSAP program improvements. FSAP encourages the Responsible Official to work with entity staff to provide an inclusive response when completing the survey.



  1. Was your recent site visit a joint (Agriculture Select Agent Services (AgSAS)/Division of Select Agents and Toxins (DSAT)), AgSAS only or DSAT only inspection?

    1. Joint

    2. DSAT only

    3. AgSAS only

    4. Don’t know

  2. If a joint inspection, was DSAT or AgSAS the lead inspecting agency?

  1. DSAT only

  2. AgSAS only

  3. Don’t know

  1. What was the month and year of your inspection? ___________________________________

  2. What was the purpose of FSAP's most recent site visit?

    1. Renewal

    2. Verification

    3. Registration amendment

    4. Compliance

    5. New application

    6. Don’t know

  3. Were you given prior notice of FSAP's planned date of inspection?

    1. Yes

    2. No

    3. N/A (Unannounced Inspection)



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Public reporting burden of this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-1050).

 





  1. How would you rate pre-inspection communication by the DSAT and/or AgSAS inspection team? Please use the space provided in question 19 to explain your answers.

    1. Very satisfied

    2. Satisfied

    3. Neutral

    4. Dissatisfied

    5. Very dissatisfied

    6. N/A (Unannounced)

  2. Did the FSAP team arrive at your entity at the time indicated in your notice of inspection?

    1. Yes

    2. No

    3. N/A (Unannounced)

  3. Were you satisfied with the FSAP inspection team's briefing at the start of your inspection? Please use the space provided in question 19 to explain your answers.

    1. Yes

    2. No

    3. Don’t know



  1. Did the inspection team communicate with you prior to the inspection to clearly understand the laboratory containment entry requirements at your entity?

    1. Yes

    2. No

    3. N/A



  1. Do you feel that the FSAP inspection team correctly applied the select agent regulations and biosafety standards? If no, please describe your observation in the space provided.

    1. Yes

    2. No

If you answered no, please explain:__________________________________________________

  1. Were you satisfied with the professionalism of the FSAP inspection team? Please use the space provided in question 19 to explain your answers.

    1. Yes

    2. No

  2. Were you satisfied with the FSAP inspection team's technical expertise? Please use the space provided in question 19 to explain your answers.

    1. Yes

    2. No

  3. Did the inspection team exit the containment laboratories and/or conclude the inspection prior to your entity’s end of business day?

    1. Yes

    2. No



  1. Were you able to ask and receive responses for all your questions? Please use the space provided in question 19 to explain your answers.

    1. Yes

    2. No

  2. Were you satisfied with the FSAP inspection team's out briefing at the conclusion of your inspection? Please use the space provided in question 19 to explain your answers.

    1. Yes

    2. No

  3. Do you feel that the FSAP inspection team was adequately prepared to inspect your facility? Please use the space provided in question 19 to explain your answers.

    1. Yes

    2. No

  4. Did we conduct our inspection in a manner so that your operations were minimally impacted? Please use the space provided in question 19 to explain your answers.

    1. Yes

    2. No

  5. Based on our most recent site visit of your entity, how would you rate this inspection experience overall compared to your previous inspection? Please use space provided in question 19 to explain your answers.

    1. Much improved

    2. Improved

    3. Same

    4. Worse

    5. Much worse

    6. N/A (Your entity has not been inspected by FSAP previously)

  6. Please provide any additional comments and/or examples.



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMartin, Diane (CDC/OPHPR/DSAT)
File Modified0000-00-00
File Created2021-01-21

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