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Consumer Fact Sheet and Website Outreach Card on Medication Use during Pregnancy

IC 215494 under ICR 201406-0910-019 · OMB 0910-0497.

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Other-Consent Form
Other-Fact Sheet
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Consumer Fact Sheet and Website Outreach Card on Medication Use during Pregnancy OC
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Medication and Pregnancy Moderator Guide 1_28_15.doc No   Printable Only
Instruction Medication and Pregnancy Screener Guide_DRAFT_12_1_14.doc No   Printable Only
Other-Consent Form Pregnancy Focus Group Consent Form FINAL 12_19_14.docx No   Printable Only
Other-Fact Sheet Pregnancy Focus Group_Fact Sheet Check FINAL 12_19_14 (4).docx No   Printable Only

Health Consumer Health and Safety

 

32 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 32 0 32 0 0 0
Annual IC Time Burden (Hours) 64 0 64 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Focus Group Supporting Statement FDA OWH Medicine and Pregnancy Focus Groups - OMB 0910-0497.doc 03/02/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.