№ files_lp_3_process_9_26327
Administrative survey questionnaire issued by the U.S. Food and Drug Administration to collect feedback from patient and caregiver speakers following participation in FDA Patient Listening Sessions.
OMB Control No.: 0910-0697
Expiration Date: 01/31/2027
Issuing Agency: U.S. Food and Drug Administration (FDA)
Department: FDA Patient Affairs
Legal Basis: Paperwork Reduction Act of 1995
Type of Document: Survey questionnaire
Purpose: Evaluation of Patient Listening Session program
Target Audience: Patient and caregiver speakers participating in FDA Patient Listening Sessions
Estimated Completion Time: 5 minutes per response
Method of Distribution: Email with Qualtrics survey link
Data Handling: Subject to Qualtrics Privacy Policy and FDA Third-Party Websites and Applications Privacy Policy
Voluntary Participation: Yes
Response Format: Likert scale (1–5) and open-ended questions
Contact for Comments: [email protected]
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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