Information Collection

FDA Unified Consumer Communications Program

IC 216519 under ICR 201406-0910-019 · OMB 0910-0497.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0497 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Consent Form_Consumer.docx	Other-Consent Form - Consumer
Consent Form_Professionals.docx	Other-Consent Form - Professionals
FDA UCC Screener_CONSUMERS.doc	Other-FDA UCC Screener - Consumers
FDA UCC Screener_PROFESSIONALS.doc	Other-FDA UCC Screener - Professiona
Sensis_FDA UCC_Creative Test Discussion Guide_All Groups.docx	Other-Sensis FDA UCC Creative Test D
OMB_UCM020281_FDA UCC.doc Supporting Statement Memo	IC Document

IC Title:

FDA Unified Consumer Communications Program

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-Consent Form - Consumer	Consent Form_Consumer.docx	Yes	No	Printable Only
Other-Consent Form - Professionals	Consent Form_Professionals.docx	Yes	No	Printable Only
Other-FDA UCC Screener - Consumers	FDA UCC Screener_CONSUMERS.doc	Yes	No	Printable Only
Other-FDA UCC Screener - Professionals	FDA UCC Screener_PROFESSIONALS.doc	Yes	No	Printable Only
Other-Sensis FDA UCC Creative Test Discussion Guide - All Groups	Sensis_FDA UCC_Creative Test Discussion Guide_All Groups.docx	Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 64

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 Agency Discretion
Annual Number of Responses for this IC	64	64
Annual IC Time Burden (Hours)	96	96
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement Memo	OMB_UCM020281_FDA UCC.doc	05/08/2015

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