Information Collection

Technical Assistance Network Food Safety Modernization Web Form Feedback

IC 228954 under ICR 201709-0910-006 · OMB 0910-0360.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.