Information Collection

Improving FDA Health Communications with Older Women Regarding FDA-Regulated Products

IC 231932 under ICR 201709-0910-002 · OMB 0910-0847.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Questionnaire.docx Other-Questionnaire
Moderator Guide.docx Other-Moderator guide
Patient Recruitment Screening Guide.docx Other-Screener
Medication Risk and Benefit Brochure.pdf Other-Brochure
Guide on Medicine for Older Adults.pdf Other-Guide on medicine
Drug Safety health communication tool.pdf Other-Drug safety health communicati
Screen Shots of Vaccine Communications.docx Other-Screenshots of vaccine communi
Screenshots of CDER Communications to Patients.doc Other-Screenshots of CDER communicat
Reminder Email.docx Other-Reminder email
Consent form.docx Other-Consent form
0847 OMB approval memo for Improving FDA Health Communications with Older Women 2018.doc
OMB approval memo
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-Moderator guide Moderator Guide.docx No   Paper Only
Other-Screener Patient Recruitment Screening Guide.docx No   Paper Only
Other-Brochure Medication Risk and Benefit Brochure.pdf No   Paper Only
Other-Guide on medicine Guide on Medicine for Older Adults.pdf No   Paper Only
Other-Drug safety health communication tool Drug Safety health communication tool.pdf No   Paper Only
Other-Screenshots of vaccine communication Screen Shots of Vaccine Communications.docx No   Paper Only
Other-Screenshots of CDER communications Screenshots of CDER Communications to Patients.doc No   Paper Only
Other-Reminder email Reminder Email.docx No   Paper Only
Other-Consent form Consent form.docx No   Paper Only
Other-Questionnaire Questionnaire.docx No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 120 0 120 0 0 0
Annual IC Time Burden (Hours) 240 0 240 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
OMB approval memo 0847 OMB approval memo for Improving FDA Health Communications with Older Women 2018.doc 06/25/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.