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Federal forms, ICRs, and supporting documents

Information Collection

Stated Preference Survey of Willingness to Pay for Prescription Medication Information

IC 237251 under ICR 201709-0910-002 · OMB 0910-0847.

Documents and Forms
Document Name
Document Type
Other-survey
Other-survey
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Stated Preference Survey of Willingness to Pay for Prescription Medication Information CDER
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey PMI Open Ended Survey Draft 03-07-2019.docx Yes Yes Fillable Fileable
Other-survey PMI Referendum Survey Draft 03-07-2019.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

5,030 0
   
Individuals or Households
 
   100 %

  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 5,030 0 5,030 0 0 0
Annual IC Time Burden (Hours) 838 0 838 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Stated Preference Survey of Willingness to Pay for Prescription Medication Information PMI memo 8-5-2019.docx 08/06/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.