CDRH Customer Satisfaction Survey

Customer/Partner Service Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0360 can be found here:

Documents and Forms

Document Name Document Type
CDRH Customer Service Survey_2019.pdf Other-Customer Service Survey
CDRH customer satisfaction Survey--OMB Justification (3) (2) (002).doc OMB Justification IC Document

Information Collection (IC) Details

IC Title:	CDRH Customer Satisfaction Survey	Agency IC Tracking Number:	CDRH

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
Other-Customer Service Survey			CDRH Customer Service Survey_2019.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Justification	CDRH customer satisfaction Survey--OMB Justification (3) (2) (002).doc	07/02/2019

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