Mental Models Study of Communicating with Health Care Providers about the Risks and Benefits of Prescription Drug Use for Pregnant and Nursing Women with Chronic Conditions

Documents and Forms

Document Name Document Type
pregnancy and nursing MM study PROTOCOL AttachmentA.doc Other-Survey Protocol
pregnancy and nursing mm study LETTER AttachmentB.doc pregnancy and nursing mm study LETTER AttachmentB IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Mental Models Study of Communicating with Health Care Providers about the Risks and Benefits of Prescription Drug Use for Pregnant and Nursing Women with Chronic Conditions	Agency IC Tracking Number:

Is this a Common Form? No		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 Protocol			pregnancy and nursing MM study PROTOCOL AttachmentA.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: 60	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
pregnancy and nursing mm study LETTER AttachmentB	pregnancy and nursing mm study LETTER AttachmentB.doc	09/03/2008

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