OMB
.report
Search
Focus Group Testing of Consumer Messaging on Participation of Diverse Women in Clinical Trials
Focus Groups as Used by the Food and Drug Administration
OMB: 0910-0497
IC ID: 217647
OMB.report
HHS/FDA
OMB 0910-0497
ICR 201406-0910-019
IC 217647
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Clinical Trials Moderator Guide FINAL 07_02_15.doc
Other-Moderator Guide
Clinical Trials Screener Guide FINAL 07_01_15.doc
Other-Screener Guide
Consent Form_Clinical Trials_FINAL 07_01_15.docx
Other-Consent Form
Fact Sheet Check_Clinical Trials FINAL 07_02_15.docx
Other-Fact Sheet Check
WomenandClinicalTrials_Flyer_Draft copy.docx
Other-Flyer
Clinical Trials 2013.pdf
Other-Clinical Trials Information Sh
FDA OWH Diverse Women in Clinical Trials Focus Groups - OMB 0910-0497.doc
Supporting Statement Memo
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Focus Group Testing of Consumer Messaging on Participation of Diverse Women in Clinical Trials
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-Screener Guide
Clinical Trials Screener Guide FINAL 07_01_15.doc
No
Printable Only
Other-Moderator Guide
Clinical Trials Moderator Guide FINAL 07_02_15.doc
No
Printable Only
Other-Consent Form
Consent Form_Clinical Trials_FINAL 07_01_15.docx
No
Printable Only
Other-Fact Sheet Check
Fact Sheet Check_Clinical Trials FINAL 07_02_15.docx
No
Printable Only
Other-Flyer
WomenandClinicalTrials_Flyer_Draft copy.docx
No
Printable Only
Other-Clinical Trials Information Sheet
Clinical Trials 2013.pdf
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:
99
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
99
0
99
0
0
0
Annual IC Time Burden (Hours)
42
0
42
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement Memo
FDA OWH Diverse Women in Clinical Trials Focus Groups - OMB 0910-0497.doc
07/30/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.