Focus Group Study of Healthcare Provider Knowledge of Biosimilar Biological Products

Testing Communications on Biological Products

Documents and Forms

Document Name Document Type
Recruitment Screener 11-20-14.doc Other-Questionnaire
OMB Justification for generic clearance for Focus Group Study of HP Knowledge of BBP 11-20-14.doc OMB Justification for Generic Clearance for Focus Group Study of Healthcare Provider Knowledge of BBP IC Document
Moderator Guide 11-20-14.doc Moderator Guide IC Document
Consent Form - Physicians 11-20-14.docx Consent Form - Physician IC Document
Consent Form - Pharmacists 11-20-14.docx Consent Form - Pharmacists IC Document
Consent Form - NPs & PAs 11-20-14.docx Consent Form - NP & PA IC Document
CITI_Lappin_20140917 11-20-14.pdf Training Certificate - Lappin IC Document
CITI IRB Training Certificate (Scales) 11-20-14.pdf Training Certificate - Scales IC Document
CITI IRB Training Certificate (Rupert) 11-20-14.pdf Training Certificate - Rupert IC Document

Information Collection (IC) Details

IC Title:	Focus Group Study of Healthcare Provider Knowledge of Biosimilar Biological Products	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-Questionnaire			Recruitment Screener 11-20-14.doc		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 240	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	240	240
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Justification for Generic Clearance for Focus Group Study of Healthcare Provider Knowledge of BBP	OMB Justification for generic clearance for Focus Group Study of HP Knowledge of BBP 11-20-14.doc	12/23/2014
Moderator Guide	Moderator Guide 11-20-14.doc	12/23/2014
Consent Form - Physician	Consent Form - Physicians 11-20-14.docx	12/23/2014
Consent Form - Pharmacists	Consent Form - Pharmacists 11-20-14.docx	12/23/2014
Consent Form - NP & PA	Consent Form - NPs & PAs 11-20-14.docx	12/23/2014
Training Certificate - Lappin	CITI_Lappin_20140917 11-20-14.pdf	12/23/2014
Training Certificate - Scales	CITI IRB Training Certificate (Scales) 11-20-14.pdf	12/23/2014
Training Certificate - Rupert	CITI IRB Training Certificate (Rupert) 11-20-14.pdf	12/23/2014

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