Information Collection

Establishing a Baseline for Consumer Knowledge about Medical Product Benefits and Risks

IC 192041 under ICR 200803-0910-002 · OMB 0910-0497.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0497 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Consumer FGs Risk vs Benefit Draft Screener.doc	Other-focus group screener
Consumer FGs Risk vs Benefit Draft Mod Guide.doc	Other-focus group moderator's guide
Sample_OMR_confirmation_letter.doc Sample_OMR_confirmation_letter	IC Document
OMB_clearance_memo_draft_revised_20090713 updated 10-27-09.doc OMB_clearance_memo_draft_revised_20090713 updated 10-27-09	IC Document
0910-0497 Establishing a Baseline for Consumer Knowledge about Medical Product Benefits and Risks.doc TERMS OF CLEARANCE	IC Document

IC Title:

Establishing a Baseline for Consumer Knowledge about Medical Product Benefits and Risks

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-focus group screener			Consumer FGs Risk vs Benefit Draft Screener.doc		No	No	Paper Only
Other-focus group moderator's guide			Consumer FGs Risk vs Benefit Draft Mod Guide.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 144

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	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	144	0	0	0	0	0
Annual IC Time Burden (Hours)	288	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Sample_OMR_confirmation_letter	Sample_OMR_confirmation_letter.doc	12/02/2009
OMB_clearance_memo_draft_revised_20090713 updated 10-27-09	OMB_clearance_memo_draft_revised_20090713 updated 10-27-09.doc	02/02/2010
TERMS OF CLEARANCE	0910-0497 Establishing a Baseline for Consumer Knowledge about Medical Product Benefits and Risks.doc	04/09/2010

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