Information Collection

Screener

IC 200467 under ICR 201112-0910-003 · OMB 0910-0707.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0707 can be found here:

Documents and Forms

Document Name Document Type
APPENDIX C - Study Invitation and Reminder Emails.doc Other-Invitation and Reminders

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Screener	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 202.1(e)96)(ii) 21 CFR 314.126

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Invitation and Reminders			APPENDIX C - Study Invitation and Reminder Emails.doc		Yes	No	Printable Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 19,120	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	19,120	19,120
Annual IC Time Burden (Hours)	637	637
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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