Information Collection

Focus Groups on Oncology Indications

IC 235303 under ICR 201703-0910-009 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Focus Groups Screener Questionnaire.docx	Other-Survey Instrument
Consent Form.docx	Other-Consent Form
Disclosure Worksheet.docx	Other-Disclosure Worksheet
Terminology Worksheet.docx	Other-Terminology Worksheet
Terminology Moderator Guide.docx	Other-Terminology Moderator Guide
Endpoint Disclosure Moderator Guide.docx	Other-Endpoint Disclosure Moderator
0677 OMB Approval Memo Oncology Indication Focus Groups 2019.doc OMB approval memo	IC Document

IC Title:

Focus Groups on Oncology Indications

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Instrument	Focus Groups Screener Questionnaire.docx	Yes	Yes	Fillable Fileable
Other-Consent Form	Consent Form.docx	Yes	Yes	Fillable Fileable
Other-Disclosure Worksheet	Disclosure Worksheet.docx	Yes	No	Paper Only
Other-Terminology Worksheet	Terminology Worksheet.docx	Yes	No	Paper Only
Other-Terminology Moderator Guide	Terminology Moderator Guide.docx	Yes	No	Paper Only
Other-Endpoint Disclosure Moderator Guide	Endpoint Disclosure Moderator Guide.docx	Yes	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 451

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	451	451
Annual IC Time Burden (Hours)	112	112
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB approval memo	0677 OMB Approval Memo Oncology Indication Focus Groups 2019.doc	03/12/2019

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