Pilot Study

Disclosure Regarding Additional Risks in Direct-to-Consumer Prescription Drug Television Advertisements

OMB: 0910-0785

IC ID: 214501

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

View Information Collection (IC)

Pilot Study CDER
No Modified
21 CFR 202.1(e)(5)(i) 21 CFR 202.1(e)(6)(i) 21 CFR 202.(e)(3)(ii)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Questionnaire 0785 Questionnaire Revised 10-15-2015.docx Yes Yes Fillable Fileable Signable

Health Consumer Health and Safety


600 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 600 0 0 0 0 600
Annual IC Time Burden (Hours) 300 0 0 0 0 300
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.

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