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Strategic Plan Survey (ORA)
Generic Clearance for the Collection of Qualitative Feedback on Food and Drug Administration Service Delivery
OMB: 0910-0697
IC ID: 239379
OMB.report
HHS/FDA
OMB 0910-0697
ICR 201710-0910-006
IC 239379
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0697 can be found here:
2023-11-28 - Extension without change of a currently approved collection
2022-06-30 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Appendix I - Survey Tool.docx
Other-Survey Instrument
Appendix II - Survey Tool Snapshot.docx
Other-Screenshot
Appendix III - View After Submitting Survey.docx
Other-Screenshot
Appendix IV - Customer List.docx
Other-Customer List
0697 OMB Approval Memo - Strategic Plan Development Survey 2020.docx
OMB approval memo
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Strategic Plan Survey (ORA)
Agency IC Tracking Number:
ORA
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-Survey Instrument
Appendix I - Survey Tool.docx
Yes
Yes
Fillable Fileable
Other-Screenshot
Appendix II - Survey Tool Snapshot.docx
Yes
Yes
Fillable Fileable
Other-Screenshot
Appendix III - View After Submitting Survey.docx
Yes
No
Printable Only
Other-Customer List
Appendix IV - Customer List.docx
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
80
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
80
0
80
0
0
0
Annual IC Time Burden (Hours)
80
0
80
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB approval memo
0697 OMB Approval Memo - Strategic Plan Development Survey 2020.docx
01/22/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.