Surveillance Sampling Outreach

Generic FDA Rapid Response Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0500 can be found here:

Documents and Forms

Document Name Document Type
Food Sampling Assignment Survey.doc Other-Survey
Invitation - Survey Conference Call.docx Other-Invitation
Appendix A Survey Sampling Outreach Questions.docx Other-Appendix A
Appendix B - List of Stakeholders.docx Other-Appendix B
Draft Example of Future Sampling Plan.pdf Other-Future Sampling Plan
0500 OMB approval memo Surveillance Sampling Outreach 2018.doc OMB approval memo IC Document

Information Collection (IC) Details

IC Title:	Surveillance Sampling Outreach	Agency IC Tracking Number:	CFSAN

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Survey	Food Sampling Assignment Survey.doc	No	Paper Only
Other-Invitation	Invitation - Survey Conference Call.docx	No	Paper Only
Other-Appendix A	Appendix A Survey Sampling Outreach Questions.docx	No	Paper Only
Other-Appendix B	Appendix B - List of Stakeholders.docx	No	Paper Only
Other-Future Sampling Plan	Draft Example of Future Sampling Plan.pdf	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	240	240
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB approval memo	0500 OMB approval memo Surveillance Sampling Outreach 2018.doc	07/30/2018

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