Customer Satisfaction Survey for Evaluation of the 20.88 Single Signature Long-Term Information Sharing Agreement

State/Local Survey DO NOT DISSEMINATE 11-3-15

State/Local Agency 20.88 Single Signature Long-Term Food Information Sharing Agreement Survey

Introduction

Thank you for participating in the 20.88 Single Signature Long-Term Food Information Sharing Agreement survey! Unlike Commissioning, which is for a specific employee, the 20.88 Single Signature Long-Term Food Information Sharing Agreement is a streamlined “blanket” process for sharing non-public food safety information that requires a written agreement between FDA and a specific agency. The purpose of this survey is to assess the satisfaction and utilization of the 20.88 Single Signature Long-Term Food Agreement among participating State/local agencies. The results from this survey will remain anonymous and will be used to inform further implementation of the 20.88 Single Signature Long-Term Food Information Sharing Agreement. The survey contains 23 questions and will take about 10 minutes to complete.

Your participation / nonparticipation is completely voluntary and your responses will not have an effect on your eligibility for receipt of any FDA services.

If you have any questions or concerns about the survey, please contact Lacreisha Ejike-King at Lacreisha.Ejike-King@fda.hhs.gov or 240-402-2633.

Section I: Establishing a 20.88 Single Signature Long-Term Food Information Sharing Agreement

1. Why did your agency choose to establish a 20.88 Single Signature Long-Term Food Agreement with FDA? (Select all that apply)

   1. My agency requests information often.

   2. My agency hires new employees often.

   3. My agency participates in joint investigations often.

   4. I’m not sure why my agency chose to establish an agreement.

      Other (Please specify):

2. How difficult was the process of establishing a 20.88 Single Signature Long-Term Food Agreement with FDA?

   1. Very easy

   2. Somewhat easy

   3. Neutral

   4. Somewhat difficult

   5. Very difficult

3. How could the process of establishing a 20.88 Single Signature Long-Term Food Agreement with FDA be improved?

Section II: Requesting Information

4. How adequate is guidance from FDA concerning the following aspects under a 20.88 Single Signature Long-Term Food Agreement?

	Completely Adequate	Somewhat Adequate	Somewhat Inadequate	Completely Inadequate
Requesting Information
Using Information
Sharing Information Externally

5. How could guidance from FDA on any aspect of 20.88 Single Signature Long-Term Food Agreements be improved?

6. Has your agency requested information from FDA since establishing a 20.88 Single Signature Long-Term Food Agreement?

   1. Yes (go to 8)

   2. No

   3. I don’t know (go to 17)

7. Why has your agency not requested information from FDA since signing the 20.88 Single Signature Food Agreement? (Select all that apply)

   1. We have not had a need to request information from FDA. (Go to 17)

   2. We are not sure what information can be requested from FDA. (Go to 17)

   3. We are not sure how to request information from FDA. (Go to 17)

   4. I’m not sure why my agency has not made a request. (Go to 17)

   5. Other (please specify): (Go to 17)

8. How many times has your agency requested information from FDA since establishing a 20.88 Single Signature Long-Term Food Agreement?

   1. 1-3

   2. 4-6

   3. 7-9

   4. 10 or more (please estimate how many):

9. What was the nature of your information request(s)? (Select all that apply)

   1. Outbreak

   2. Recall data

   3. Data about a firm

   4. Data about a product

   5. Other (Please specify):

10. How difficult is the process for requesting information from FDA under a 20.88 Single Signature Long-Term Food Agreement?

    1. Very easy

    2. Somewhat easy

    3. Neutral

    4. Somewhat difficult

    5. Very difficult

11. How could the process for requesting information from FDA under a 20.88 Single Signature Long-Term Food Agreement be improved?

Section III: Receiving Information

12. On average, how many working days does it take from information request to information receipt utilizing the 20.88 Single Signature Long-Term Food Agreement for these types of requests?

	Less Than 1 Day	1-2 Days	3-4 Days	5 or more Days	N/A
Outbreaks
Recalls
Firm Data
Product Data

13. How satisfied are you with the amount of time it takes on average to receive the information that you request utilizing the 20.88 Single Signature Long-Term Agreement?

    1. Very satisfied

    2. Satisfied

    3. Neither satisfied nor dissatisfied

    4. Dissatisfied

    5. Very dissatisfied

14. How often has the information received met your needs?

    1. Always (go to 16)

    2. Sometimes (go to 15)

    3. Rarely (go to 15)

    4. Never (go to 15)

15. Why has the information received not met your needs?

16. How often is the information delivered in the most appropriate file format?

    1. Always

    2. Sometimes

    3. Rarely

    4. Never

Section IV: Renewing the 20.88 Single Signature Long-Term Information Sharing Agreement

17. What is the likelihood that your agency would sign another 20.88 Single Signature Long-Term Food Agreement in 2019?

    1. Very likely (go to 19)

    2. Likely (go to 19)

    3. Unlikely (go to 18)

    4. Very unlikely (go to 18)

18. Why do you think that your agency would not sign another 20.88 Single Signature Long-Term Food Agreement in 2019? (go to 20)

19. Why do you think that your agency would sign another 20.88 Single Signature Long-Term Food Agreement in 2019?

Section V: Additional Information

20. Is there anything else concerning your experience with the 20.88 Single Signature Long-Term Food Agreement that you would like us to know?

Section VI: Demographics

21. What type of agency do you represent?

    1. State health department

    2. County/local health department

    3. University

    4. Department of agriculture

    5. Laboratory

    6. Other (Please specify):

22. In what state is your agency located?

<Drop down list of states>

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

Other (please specify):

23. What is your role in your agency?

    1. Management

    2. Epidemiology

    3. Lab analysis

    4. Rapid Response Team member

    5. Other (Please specify):

Conclusion

Once you click “Done”, your responses will be submitted and you will not be able to edit your responses. If you have any questions or concerns about the survey, please contact Lacreisha Ejike-King at Lacreisha.Ejike-King@fda.hhs.gov. Thank you for completing this survey!

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