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Federal forms, ICRs, and supporting documents

Information Collection

Spousal Influence on Consumer Understanding of and Response to DTC Prescription Drug Advertisements (Formative Research and Stimuli Testing)

IC 213153 under ICR 201406-0910-019 · OMB 0910-0497.

Documents and Forms
Document Name
Document Type
Other-Participant Screener - Phase I
Other-Participant Screener - Phase 2
Other-Participant Screener - Dyads (
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Spousal Influence on Consumer Understanding of and Response to DTC Prescription Drug Advertisements (Formative Research and Stimuli Testing) CDER
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Participant Screener - Phase I Screener - Phase 1 (8 12 14).docx Yes Yes Fillable Fileable
Other-Participant Screener - Phase 2 Screener - Phase 2 Focus Groups (8 12 14).docx Yes Yes Fillable Fileable
Other-Participant Screener - Dyads (Phase 2) Screener - Phase 2 Dyads (8 12 14).docx Yes Yes Fillable Fileable

Health Health Care Services

 

664 0
   
Individuals or Households
 
   0 %

  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 664 0 664 0 0 0
Annual IC Time Burden (Hours) 211 0 211 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Moderator Guide - Phase 1 Moderator Guide - Phase 1 Patient (7 22 14).docx 09/17/2014
Moderator Guide - Phase 1 - Caregiver Moderator Guide - Phase 1 Caregiver (7 22 14).docx 09/17/2014
Moderator Guide - Phase 2 - Patient Moderator Guide - Phase 2 Patient (9 04 14).docx 09/17/2014
Moderator Guide - Phase 2 - Caregiver Moderator Guide - Phase 2 Caregiver (9 04 14).docx 09/17/2014
Interview Guide - Phase 2 - Dyads Interview Guide - Phase 2 Dyads (8 13 14).docx 09/17/2014
OMB Justification for generic clearance of Spousal Influence 0497 9-17-14 OMB CLEARANCE MEMO 0497 RISK COMM INITATIVE 9-17-14.docx 09/17/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.