OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Survey of "Health Care Providers' Responses to Medical Device Labeling Content

IC 201489 under ICR 201203-0910-001 · OMB 0910-0715.

Documents and Forms
Document Name
Document Type
Other-Cover Letter
Other-Telephone Script
Other-Survey
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Survey of "Health Care Providers' Responses to Medical Device Labeling Content
 
No New
 
Voluntary
 
21 CFR 801

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Telephone Script Telephone Script for Interviewer.doc No   Paper Only
Other-Survey Attachment A - Questionnaire and Confidentiality Assurance.docx Yes Yes Fillable Fileable Signable
Other-Cover Letter Attachment B - Cover Letter.doc Yes Yes Fillable Printable

Health Immunization Management

 

1,248 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  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 1,248 0 1,248 0 0 0
Annual IC Time Burden (Hours) 324 0 324 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment G - Label Version 3 Attachment G - Label Version 3.pdf 03/01/2012
Attachment E - Label Version 1 Attachment E - Label Version 1.pdf 03/01/2012
Attachment F - Label Version 2 Attachment F - Label Version 2.pdf 03/01/2012
Device Label Survey screenshots Device Label Survey screenshots.doc 03/01/2012
Attachment D - Label Version Table Attachment D - Label Version Table.doc 07/02/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.