Information Collection

Rapid Message Testing with Consumer Panel; Clinical Trials Brochure

IC 227721 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⚠️ Notice: This information collection may be referencing outdated material.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 RAPID_MSG1_Clinical Trials_Screener (English) to RN 072417.docx	Other-Interview Screening Document -
FDA RAPID_MSG1_Clinical Trials_Screener (Spanish) 072517.docx	Other-Interview Screening Document -
Brochure_English.pdf	Other-Study Brochure - English
Brochure_Spanish.pdf	Other-Study Brochure - Spanish
OMHClinicalTrials_Cognitive Interview Guide_for OMB submission_072217.docx	Other-Study Interview Guide
OMB Generic ICR Request.doc OMB Generic ICR Request	IC Document

IC Title:

Rapid Message Testing with Consumer Panel; Clinical Trials Brochure

Agency IC Tracking Number:

IC Status: New

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 Screening Document - Spanish	FDA RAPID_MSG1_Clinical Trials_Screener (Spanish) 072517.docx	No	Paper Only
Other-Interview Screening Document - English	FDA RAPID_MSG1_Clinical Trials_Screener (English) to RN 072417.docx	No	Paper Only
Other-Study Brochure - English	Brochure_English.pdf	No	Paper Only
Other-Study Brochure - Spanish	Brochure_Spanish.pdf	No	Paper Only
Other-Study Interview Guide	OMHClinicalTrials_Cognitive Interview Guide_for OMB submission_072217.docx	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Generic ICR Request	OMB Generic ICR Request.doc	07/26/2017

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