Technical Assistance Network Food Safety Modernization Web Form Feedback

Customer/Partner Service Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0360 can be found here:

Documents and Forms

Document Name Document Type
0360 TAN Response Satisfaction Survey.doc Other-Questionnaire
0360 TAN Page 1 Screenshot.JPG Other-Screenshot
0360 TAN Page 2 Screenshot.JPG Other-Screenshot
0360 OMB Justification Memo for TAN WebForm Feedback.doc OMB Memo IC Document

Information Collection (IC) Details

IC Title:	Technical Assistance Network Food Safety Modernization Web Form Feedback	Agency IC Tracking Number:	CFSAN

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Questionnaire	0360 TAN Response Satisfaction Survey.doc	Yes	Yes	Fillable Fileable
Other-Screenshot	0360 TAN Page 1 Screenshot.JPG	Yes	Yes	Fillable Fileable
Other-Screenshot	0360 TAN Page 2 Screenshot.JPG	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,000	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	7,000	7,000
Annual IC Time Burden (Hours)	233	233
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Memo	0360 OMB Justification Memo for TAN WebForm Feedback.doc	11/08/2017

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