QUICK RESPONSE SURVEY-ASPIRIN LABELING STUDY

ICR 198503-0910-001

OMB: 0910-0063

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
109544
Migrated
ICR Details
0910-0063 198503-0910-001
Historical Active 198410-0910-001
HHS/FDA
QUICK RESPONSE SURVEY-ASPIRIN LABELING STUDY
Revision of a currently approved collection   No
Regular
Approved without change 04/08/1985
Retrieve Notice of Action (NOA) 03/18/1985
  Inventory as of this Action Requested Previously Approved
03/31/1986 03/31/1986 03/31/1986
3,000 0 13,999
1,876 0 1,451
0 0 0

A SAMPLE OF 1500 HOUSEHOLDS WITH CHILDREN 19 YEARS OF AGE AND YOUNGER WILL BE SURVEYED TO DETERMINE IF THEY ARE AWARE OF REPORTED ASSOCIATIO BETWEEN USE OF ASPIRIN BY CHILDREN WHO HAVE FLU OR CHICKEN POX AND REYE SYNDROME.

None
None


No

1
IC Title Form No. Form Name
QUICK RESPONSE SURVEY-ASPIRIN LABELING STUDY

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,000 13,999 0 -10,999 0 0
Annual Time Burden (Hours) 1,876 1,451 0 425 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/18/1985


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