Federal Select Agent Program eFSAP Feedback Survey

CDC/ATSDR Formative Research and Tool Development

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-1154 Federal Select Agent Program eFSAP Feedback Survey Form
0920-1154 FSAP Survey System Enhancement Att1-FSAPSurvey-SysEnh.docx Form
0920-1154 FSAP User Experience Survey Att2-FSAP_UserExpSurv.docx Form
SSA-0920-1154-OPHPR-FSAP_Survey-180820-clean.docx SSA IC Document
SSB-0920-1154-OPHPR_FSAP-Survey-SystemEnhancements.docx SSB IC Document
GenICRequest-0920-1154-OPHPR-eFSAP-180820.docx GenIC Request Template IC Document
Att1a-FSAPSurvey-SysEnhInst_v1.docx 1A Instructions IC Document
Att2a-FSAP_UserExpSurvInst.docx 2a Instructions IC Document
Att3 - Determination of Human Subjects Applicability.pdf HS Determination IC Document

Information Collection (IC) Details

IC Title:	Federal Select Agent Program eFSAP Feedback Survey	Agency IC Tracking Number:	0920-1154-18AWS

IC Status: New

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
Form	0920-1154	FSAP Survey System Enhancement	Att1-FSAPSurvey-SysEnh.docx	NA	Yes	Yes	Fillable Fileable
Form	0920-1154	FSAP User Experience Survey	Att2-FSAP_UserExpSurv.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 528	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	528	528
Annual IC Time Burden (Hours)	88	88
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA	SSA-0920-1154-OPHPR-FSAP_Survey-180820-clean.docx	08/22/2018
SSB	SSB-0920-1154-OPHPR_FSAP-Survey-SystemEnhancements.docx	08/22/2018
GenIC Request Template	GenICRequest-0920-1154-OPHPR-eFSAP-180820.docx	08/22/2018
1A Instructions	Att1a-FSAPSurvey-SysEnhInst_v1.docx	08/22/2018
2a Instructions	Att2a-FSAP_UserExpSurvInst.docx	08/22/2018
HS Determination	Att3 - Determination of Human Subjects Applicability.pdf	08/22/2018

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