Information Collection

Stakeholder Feedback Survey on CFSAN Outbreak and Response Evaluation Investigation Table

IC 249612 under ICR 201911-0910-011 · OMB 0910-0865.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0865 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix I - Survey.docx	Other-Survey Instrument
Appendix II - Invitation.docx	Other-Invitation
0865 OMB Approval Memo - Outbreak and Response Evaluation 2021.docx OMB Approval Memo	IC Document

IC Title:

Stakeholder Feedback Survey on CFSAN Outbreak and Response Evaluation Investigation Table

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Instrument					Yes	Yes	Fillable Fileable
Other-Invitation					Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

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	60	60
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Approval Memo		09/30/2021

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

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