2018 Federal Select Agents 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 0920-1050 2018 Federal Select Agents Program Inspection Feedback Survey Form
0920-1050 2019 Federal Select Agent Program Inspection Feedback Su Att1-2018FSAPSurvey.docx Form
0920-1050-OPHPR-Federal Select Agent Inspection Survey- Request for Approval_2018-03-08.docx Request for Approval IC Document

Information Collection (IC) Details

IC Title:	2018 Federal Select Agents Program Inspection Feedback Survey	Agency IC Tracking Number:	0920-1050 (18UE)

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	0920-1050	2019 Federal Select Agent Program Inspection Feedback Survey	Att1-2018FSAPSurvey.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 264	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	264	264
Annual IC Time Burden (Hours)	44	44
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	0920-1050-OPHPR-Federal Select Agent Inspection Survey- Request for Approval_2018-03-08.docx	04/24/2018

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