Information Collection

Concept Testing for Online Pharmacy Communications Campaign

IC 199093 under ICR 201008-0910-002 · OMB 0910-0677.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0677 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FDA_Informed_Consent_Form_Concept Testing.doc	Other-FDA Informed Consent Form Conc
Online Pharmacy Concept Focus Group Participant Screener 8 25 2011.doc	Other-Online Pharmacy Concept - Part
Online Pharmacy Concept Focus Group Moderator Guide 8-16 2011.doc	Other-Online Pharmacy Concept - Mode
FDA Online Pharmacy Concept Testing Plan 8 25 2011.doc	Other-FDA Online Pharmacy Concept Te
OMB Clearance Memo - Concept Testing for Online Pharmacy Communications Campaign.doc OMB Clearance Memo - Concept Testing for Online Pharmacy Communications Campaign	IC Document

IC Title:

Concept Testing for Online Pharmacy Communications Campaign

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-FDA Informed Consent Form Concept Testing	FDA_Informed_Consent_Form_Concept Testing.doc	No	No	Fillable Printable
Other-Online Pharmacy Concept - Participant Screener	Online Pharmacy Concept Focus Group Participant Screener 8 25 2011.doc	No	No	Fillable Printable
Other-Online Pharmacy Concept - Moderator Guide	Online Pharmacy Concept Focus Group Moderator Guide 8-16 2011.doc	Yes	No	Fillable Printable
Other-FDA Online Pharmacy Concept Testing Plan	FDA Online Pharmacy Concept Testing Plan 8 25 2011.doc	No	No	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 66

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	66	0	0	0	0	0
Annual IC Time Burden (Hours)	132	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
OMB Clearance Memo - Concept Testing for Online Pharmacy Communications Campaign	OMB Clearance Memo - Concept Testing for Online Pharmacy Communications Campaign.doc	08/26/2011

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