Information Collection

Medical Countermeasures Message Testing

IC 211655 under ICR 201604-0910-008 · OMB 0910-0677.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0677 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
APPENDIX A - SCREENING INSTRUMENT 5-13-14.docx	Other-Questionnaire
APPENDIX B - MODERATORS GUIDE 5-13-14.docx	Instruction
APPENDIX C PARTICIPANT INFO SHEET MEDICAL CM TESTING 5-13-14.docx	Other-INFO. SHEET
PROTOCOL MEDICAL CM TESTING 5-13-14.docx	Other-PROTOCOL
OMB CLEARANCE MEMO 0677 MEDICAL CM FINAL 7-25-14.doc OMB Justification Memo - final	IC Document

IC Title:

Medical Countermeasures Message Testing

Agency IC Tracking Number:

CDER

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Questionnaire	APPENDIX A - SCREENING INSTRUMENT 5-13-14.docx	No		Paper Only
Instruction	APPENDIX B - MODERATORS GUIDE 5-13-14.docx	Yes	No	Fillable Fileable
Other-INFO. SHEET	APPENDIX C PARTICIPANT INFO SHEET MEDICAL CM TESTING 5-13-14.docx	Yes	No	Fillable Fileable
Other-PROTOCOL	PROTOCOL MEDICAL CM TESTING 5-13-14.docx	Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 800

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	800	800
Annual IC Time Burden (Hours)	490	490
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Justification Memo - final	OMB CLEARANCE MEMO 0677 MEDICAL CM FINAL 7-25-14.doc	07/28/2014

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