Information Collection

Assessments of Patient and Patient Advocate Experience with the FDA For Patients Website and Patient Listening Session Program (OC)

IC 245364 under ICR 202206-0910-016 · OMB 0910-0697.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0697 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix 1 - Interview Guide - Patient Website.docx	Other-Interview Guide
Appendix 1 - Interview Guide - Patient Website.docx	Other-Interview Guide
Appendix 2 - Satisfaction Survey.docx	Other-Survey Instrument
Appendix 2 - Satisfaction Survey.docx	Other-Survey Instrument
0697 OMB Approval Memo OPA Listening Session Program 2021.docx OMB Approval Memo	IC Document
0697 OMB Approval Memo OPA Listening Session Program 2021.docx OMB Approval Memo	IC Document

IC Title:

Assessments of Patient and Patient Advocate Experience with the FDA For Patients Website and Patient Listening Session Program (OC)

Agency IC Tracking Number:

IC Status: Unchanged

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-Interview Guide			Appendix 1 - Interview Guide - Patient Website.docx		Yes	No	Printable Only
Other-Survey Instrument			Appendix 2 - Satisfaction Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 142

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	142	142
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Approval Memo	0697 OMB Approval Memo OPA Listening Session Program 2021.docx	01/15/2021

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