Requests to participate; pilot participant interviews; observations; pulse survey

Observational Meeting Form

All Meeting Types

Paperwork Reduction Act Statement:

OMB Control No. 0910-NEW

Expiration date:

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0910-NEW. There is no time required to complete this information collection, since this data collection will consist of passive observations of existing or scheduled meetings. Send comments regarding this burden estimate or any other aspects of this collection of information, including suggestions for reducing burden to [email protected].

Teleconference Details
Date of Meeting	Click or tap to enter a date.
Meeting Start Time	Click or tap here to enter text.
Meeting End Time	Click or tap here to enter text.
Meeting Duration (in minutes)	Click or tap here to enter text.
Sponsor Name (i.e., company name)	Click or tap here to enter text.
Device Name	Click or tap here to enter text.
List of Other Organizations Present	Click or tap here to enter text.
List of Names, roles, and organization of meeting attendees	Click or tap here to enter text.
Observer Name	Click or tap here to enter text.
Amendment	☐ Yes (Amendment Number: Click or tap here to enter text.) ☐ No

Engagement with the TAP Pilot
Prompt	Answer	Observer Notes
Did all intended participants join the meeting?	☐ Yes ☐ No	Click or tap here to enter text.
Did participants introduce themselves when relevant?	☐ Yes ☐ No	Click or tap here to enter text.
Were the goals or objectives of the meeting outlined from the beginning of the meeting?	☐ Yes ☐ No ☐ N/A	Click or tap here to enter text.

Collaboration
Prompt	Answer	Observer Notes
Did all team members participate in the discussion?	☐ Yes ☐ No	Click or tap here to enter text.
Did team members ask questions?	☐ Yes ☐ No ☐ N/A	Click or tap here to enter text.
Did attendees suggest options or opinions that differed from those around them?	☐ Yes ☐ No	Click or tap here to enter text.
Did participants seem comfortable engaging in the discussion?	☐ Yes ☐ No	Click or tap here to enter text.

Quantity and Quality of Interaction
Prompt	Answer	Observer Notes
What type(s) of feedback were sought during the teleconference?	☐ General Strategy ☐ Commercialization ☐ Device Development Plan ☐ Regulatory Requirements ☐ Stakeholder Engagement Plan ☐ Other	Click or tap here to enter text.
Was the feedback provided by the team constructive and actionable?	☐ Yes ☐ No ☐ N/A	Click or tap here to enter text.
Were participants receptive to the feedback received?	☐ Yes ☐ No ☐ N/A	Click or tap here to enter text.
Were there agreements or resolutions reached during the teleconference?	☐ Yes ☐ No ☐ N/A	Click or tap here to enter text.

Program Submission Activities and Their Timeliness
Prompt	Answer	Observer Notes
Did the teleconference start on time?	☐ Yes ☐ No ☐ N/A	Click or tap here to enter text.
Did the teleconference end with clearly outlined next steps?	☐ Yes ☐ No ☐ N/A	Click or tap here to enter text.
Was the teleconference documented in minutes?	☐ Yes ☐ No ☐ N/A	Click or tap here to enter text.