Technical Assistance Network Food Safety Modernization Web Form Feedback

Appendix I

TAN Response Satisfaction Survey

OMB No. 0910-0360

Exp. Date 10/30/2020

Paperwork Reduction Act Statement

Public reporting burden for this collection of information is estimated to be 2 minutes, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information to Food and Drug Administration (FDA) Office Operations, 3WFN, 11601 Landsdown Street, North Bethesda, MD 20852. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The control number for this project is 0910-0360.

Your participation/nonparticipation is completely voluntary, and your responses will not have an effect on your eligibility for receipt of any FDA services. In instances where respondent identity is needed (e.g., for follow-up of non-responders), this information collection fully complies with all aspects of the Privacy Act and data will be kept private to the fullest extent allowed by law.

U. S. Department of Health & Human Services

Food and Drug Administration

Center for Food Safety and Applied Nutrition

FDA Technical Assistance Network (TAN) Response Satisfaction Survey

Thank you for using the FSMA Technical Assistance Network (TAN) to address your questions related to the FSMA. In order to improve our service, we’d like your opinion about your experiences using the TAN. The following survey is completely voluntary; responses will be kept private to the fullest extent allowed by law.

1. Please rate your level of overall satisfaction with the response to your inquiry provided by the TAN?

Very Satisfied	Somewhat Satisfied	Neutral	Somewhat Dissatisfied	Very Dissatisfied

2. Please rate your level of satisfaction with the response to your inquiry provided by the TAN?

	Very Satisfied	Somewhat Satisfied	Neutral	Somewhat Dissatisfied	Very Dissatisfied
Timeliness
Clarity
Usefulness
Relevance
The amount of information

[IF APPLICABLE, AFTER THE FULL SERIES ABOVE. Provide open-ended response option. Open-ended responses mandatory for survey submission.]

3. You responded “somewhat or very dissatisfied” on [item from above]. Can you explain your response?

_____________________________________________________________________________

	Very Likely	Somewhat Likely	Neutral	Somewhat Unlikely	Very Unlikely
How likely would you be to recommend the TAN to others to address inquiries related to FSMA?

5. Do you have any suggestions for improvement? [Open-ended. 10 Lines of Text/500 Characters] _________________________________________________________________________

Thank you very much for taking the time to respond to our survey!