Feedback on Patient Preference Information (PPI) and Patient-Reported Outcomes (PRO) Workshops (CDRH)

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⚠️ Notice: This information collection may be referencing outdated material.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
PRO and PPI Post Meeting Questionnaire.docx Other-Questionnaire
0360 OMB Approval Memo - PPI and PRO Workshops 2020.docx OMB Approval Memo IC Document

Information Collection (IC) Details

IC Title:	Feedback on Patient Preference Information (PPI) and Patient-Reported Outcomes (PRO) Workshops (CDRH)	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-Questionnaire			PRO and PPI Post Meeting Questionnaire.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	34	34
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Approval Memo	0360 OMB Approval Memo - PPI and PRO Workshops 2020.docx	07/28/2020

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