Information Collection

Focus Group Testing of Consumer Messaging on Participation of Diverse Women in Clinical Trials

IC 217647 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⚠️ Notice: This information collection may be referencing outdated material.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
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

IC Title:

Focus Group Testing of Consumer Messaging on Participation of Diverse Women in Clinical Trials

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?	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

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	99	99
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.