OMB
.report
Search
FDA Unified Consumer Communications Program
Focus Groups as Used by the Food and Drug Administration
OMB: 0910-0497
IC ID: 216519
OMB.report
HHS/FDA
OMB 0910-0497
ICR 201406-0910-019
IC 216519
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0497 can be found here:
2023-10-31 - Extension without change of a currently approved collection
2020-10-02 - Extension without change of a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
FDA Unified Consumer Communications Program
Agency IC Tracking Number:
OC
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
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
Federal Enterprise Architecture Business Reference Module
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 %
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
64
0
64
0
0
0
Annual IC Time Burden (Hours)
96
0
96
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.