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Feedback on Patient-Generated Health Data Workshop (CDRH)
Customer/Partner Satisfaction Service Surveys
OMB: 0910-0360
IC ID: 246428
OMB.report
HHS/FDA
OMB 0910-0360
ICR 202110-0910-011
IC 246428
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0360 can be found here:
2023-09-07 - Extension without change of a currently approved collection
2022-06-30 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Email Invitation to Registrants.docx
Other-Email Invitation
Email Invitation to Registrants.docx
Other-Email Invitation
PGHD Meeting Satisfaction Survey.docx
Other-Survey Instrument
PGHD Meeting Satisfaction Survey.docx
Other-Survey Instrument
Virtual Public Meeting Information for Patient-Generated Health Data Workshop.pdf
Other-Meeting Information
Virtual Public Meeting Information for Patient-Generated Health Data Workshop.pdf
Other-Meeting Information
0360 OMB approval memo - Patient Generated Health Data Workshop 2021.docx
OMB approval memo
IC Document
0360 OMB approval memo - Patient Generated Health Data Workshop 2021.docx
OMB approval memo
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Feedback on Patient-Generated Health Data Workshop (CDRH)
Agency IC Tracking Number:
CDRH
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Email Invitation
Email Invitation to Registrants.docx
Yes
No
Printable Only
Other-Survey Instrument
PGHD Meeting Satisfaction Survey.docx
Yes
Yes
Fillable Fileable
Other-Meeting Information
Virtual Public Meeting Information for Patient-Generated Health Data Workshop.pdf
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
300
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
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
300
0
0
0
0
300
Annual IC Time Burden (Hours)
50
0
0
0
0
50
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB approval memo
0360 OMB approval memo - Patient Generated Health Data Workshop 2021.docx
03/24/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.