Main Study Screener

Hearing, Aging, and Direct-to-Consumer Television Advertisements

OMB: 0910-0818

IC ID: 219545

Documents and Forms
Document Name
Document Type
Other-Appendix A - Screener and Info
Information Collection (IC) Details

View Information Collection (IC)

Main Study Screener CDER
No New

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Appendix A - Screener and Informed Consent Appendix A_Screener and Informed Conset_PretestMain 092515.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety


2,112 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 2,112 0 2,112 0 0 0
Annual IC Time Burden (Hours) 169 0 169 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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