OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Main Study Screener

IC 214031 under ICR 201510-0910-008 · OMB 0910-0784.

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

View Information Collection (IC)

Main Study Screener CDER
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Questionnaire QUESTIONNAIRE 0784 6-9-2015.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

20,000 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 20,000 0 0 0 0 20,000
Annual IC Time Burden (Hours) 600 0 0 0 0 600
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Scale Development SCALE DEVELOPMENT 30 DAY FRN 10-28-14.doc 11/25/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.