Information Collection

CDRH Customer Satisfaction Survey

IC 283345 under ICR 202610-0910-011 · OMB 0910-0360.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CDRH Customer Experience and Satisfaction Question Set.docx	Other-CDRH Customer Experience and S
CDRH Customer Service Survey.docx	Other-CDRH Customer Service Survey
0360 OMB Gen IC Memo - CS and Experience.docx Gen IC Memo	IC Document

IC Title:

Agency IC Tracking Number:

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-CDRH Customer Experience and Satisfaction Question Set					Yes	Yes	Fillable Printable
Other-CDRH Customer Service Survey					Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Gen IC Memo		10/29/2026

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

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