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Upper Limb Prosthetic User Needs and Preferences Study: Focus Group Protocol
Focus Groups as Used by the Food and Drug Administration
OMB: 0910-0497
IC ID: 221775
OMB.report
HHS/FDA
OMB 0910-0497
ICR 201406-0910-019
IC 221775
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Informed Consent.doc
Other-Consent Form
Participant Recruitment Notice.docx
Other-Participant Recruitment Notice
Memo--Upper Limb Prosthetic User Needs and Preferences Study.doc
Memo--Upper Limb Prosthetic User Needs and Preferences Study
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Upper Limb Prosthetic User Needs and Preferences Study: Focus Group Protocol
Agency IC Tracking Number:
CDRH
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
Informed Consent.doc
No
Paper Only
Other-Participant Recruitment Notice
Participant Recruitment Notice.docx
No
Paper 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:
24
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
50 %
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
24
0
24
0
0
0
Annual IC Time Burden (Hours)
72
0
72
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Memo--Upper Limb Prosthetic User Needs and Preferences Study
Memo--Upper Limb Prosthetic User Needs and Preferences Study.doc
06/02/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.