Information Collection

Animation in DTC Promotion

IC 221063 under ICR 201701-0910-014 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Animation_Cog Int_Attachment A_Screener.pdf	Other-Interview Screener
FDA Animation_Cog Int_Attachment B_Guide.pdf	Other-Interview Guide
FDA Animation_Cog Int_Attachment C_Informed Consent.pdf	Other-Interview Consent
0695 animation study OMB Memo.doc OMB Clearance Request	IC Document

IC Title:

Animation in DTC Promotion

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?	Electronic Capability
Other-Interview Screener	FDA Animation_Cog Int_Attachment A_Screener.pdf	No	Paper Only
Other-Interview Guide	FDA Animation_Cog Int_Attachment B_Guide.pdf	No	Paper Only
Other-Interview Consent	FDA Animation_Cog Int_Attachment C_Informed Consent.pdf	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 480

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	480	480
Annual IC Time Burden (Hours)	57	57
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Clearance Request	0695 animation study OMB Memo.doc	04/13/2016

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