Main Study

STUDY: Superimposed Text in Direct-to-Consumer Promotion of Prescription Drugs

Documents and Forms

Document Name Document Type
Appendix A Super Consent Form 091416.docx Other-Consent Form
Appendix B Super Screener and Questionnaires 091416.docx Other-Screener and Questionnaires
Appendix C Super Recruitment Emails 071416.docx Other-Recruitment E-mails

Information Collection (IC) Details

IC Title:	Main Study	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Consent Form	Appendix A Super Consent Form 091416.docx	Yes	Yes	Fillable Fileable
Other-Screener and Questionnaires	Appendix B Super Screener and Questionnaires 091416.docx	Yes	Yes	Fillable Fileable
Other-Recruitment E-mails	Appendix C Super Recruitment Emails 071416.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,057	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,057	3,057
Annual IC Time Burden (Hours)	677	677
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.