Voluntary Customer Feedback Survey: Foodborne Illness Outbreak Investigation

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

OMB: 0583-0151

IC ID: 225577

Information Collection (IC) Details

View Information Collection (IC)

Voluntary Customer Feedback Survey: Foodborne Illness Outbreak Investigation
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-OPHS Voluntary Customer Feedback Survey OPHS Voluntary Customer Feedback Survey 022017.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

120 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 120 0 0 0 0 120
Annual IC Time Burden (Hours) 20 0 0 0 0 20
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” FSIS OPHS AES_Generic Clearance Certification Page_2.6.17.docx 02/06/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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