Information Collection

CDRH Customer Satisfaction Survey

IC 236604 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⚠️ Notice: This information collection may be referencing outdated material.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
CDRH Customer Service Survey_2019.pdf	Other-Customer Service Survey
CDRH customer satisfaction Survey--OMB Justification (3) (2) (002).doc OMB Justification	IC Document

IC Title:

CDRH Customer Satisfaction Survey

Agency IC Tracking Number:

CDRH

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Customer Service Survey			CDRH Customer Service Survey_2019.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	2,000	2,000
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Justification	CDRH customer satisfaction Survey--OMB Justification (3) (2) (002).doc	07/02/2019

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