Completes, Pretest Phase 2

Comparative Price Information in Direct-to-Consumer and Professional Prescription Drug Advertisements

OMB: 0910-0791

IC ID: 215728

Documents and Forms
Document Name
Document Type
Other-Provider Survey
Other-Endocrinology Invite Main Stud
Other-PCP Invite Main Study
Other-Regular Incentive Sponsor Blin
Other-Lower Incentive Sponsor Blinde
Other-Regular Incentive Sponsor Disc
Other-Lower Incentive Sponsor Disclo
Other-Regular Incentive Sponsor Disc
Other-Lower Incentive Sponsor Dislos
Other-Consent Form Providers
Information Collection (IC) Details

View Information Collection (IC)

Completes, Pretest Phase 2 CDER
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Provider Survey PROVIDER SURVEY 3-17-15.docx Yes Yes Fillable Fileable Signable
Other-Endocrinology Invite Main Study Endocrinology Invite_Main Study.docx Yes Yes Printable Only
Other-PCP Invite Main Study PCP Invite Main Study.docx Yes Yes Printable Only
Other-Regular Incentive Sponsor Blinded Endocrinologist Regular Incentive_Sponsor Blinded Endo.docx Yes Yes Printable Only
Other-Lower Incentive Sponsor Blinded Endocrinologist Lower Incentive_Sponsor Blinded Endo.docx Yes Yes Printable Only
Other-Regular Incentive Sponsor Disclosed Endocrinoloogist Regular Incentive_Sponsor Disclosed Endo.docx Yes Yes Printable Only
Other-Lower Incentive Sponsor Disclosed Endocrinologist Lower Incentive_Sponsor Disclosed Endo.docx Yes Yes Printable Only
Other-Regular Incentive Sponsor Disclosed Regular Incentive_Sponsor Disclosed.docx Yes Yes Printable Only
Other-Lower Incentive Sponsor Dislosed Lower Incentive_Sponsor Disclosed.docx Yes Yes Printable Only
Other-Consent Form Providers CONSENT FORM PROVIDERS 3-17-15.doc Yes Yes Fillable Fileable Signable

Health Consumer Health and Safety

 

1,000 0
   
Individuals or Households
 
   100 %

  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 1,000 0 1,000 0 0 0
Annual IC Time Burden (Hours) 500 0 500 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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