Information Collection

IMPROVE Study Phase 2

IC 224206 under ICR 201607-0910-010 · OMB 0910-0695.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0695 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FDA IMPROVE SURVEY.pdf	Other-IMPROVE Survey Instrument
FDA IMPROVE Screener.pdf	Other-IMPROVE Survey Screener
FDA IMPROVE PHASE 2 SS.pdf IMPROVE Study Phase 2 Supporting Statement	IC Document

IC Title:

IMPROVE Study Phase 2

Agency IC Tracking Number:

CDER

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-IMPROVE Survey Instrument			FDA IMPROVE SURVEY.pdf		Yes	Yes	Fillable Fileable
Other-IMPROVE Survey Screener			FDA IMPROVE Screener.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 850

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	850	850
Annual IC Time Burden (Hours)	170	170
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
IMPROVE Study Phase 2 Supporting Statement	FDA IMPROVE PHASE 2 SS.pdf	10/30/2016

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