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Federal forms, ICRs, and supporting documents

Information Collection

Pretest 1 (420/medical condition)

IC 212879 under ICR 201509-0910-012 · OMB 0910-0778.

Documents and Forms
Document Name
Document Type
Other-Questionnaire
Information Collection (IC) Details

View Information Collection (IC)

Pretest 1 (420/medical condition) CDER
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Questionnaire APPENDIX A QUESTIONNAIRE 7-25-2014.docx Yes Yes Fillable Fileable Signable

Health Consumer Health and Safety

 

900 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 900 0 0 0 0 900
Annual IC Time Burden (Hours) 450 0 0 0 0 450
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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