Stated Preference Survey of Willingness to Pay for Prescription Medication Information

Data To Support Social and Behavioral Research as Used by the Food and Drug Administration

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0847 can be found here:

Documents and Forms

Document Name Document Type
PMI Open Ended Survey Draft 03-07-2019.docx Other-survey
PMI Referendum Survey Draft 03-07-2019.docx Other-survey
PMI memo 8-5-2019.docx Stated Preference Survey of Willingness to Pay for Prescription Medication Information IC Document

Information Collection (IC) Details

IC Title:	Stated Preference Survey of Willingness to Pay for Prescription Medication Information	Agency IC Tracking Number:	CDER

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

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

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,030	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	5,030	5,030
Annual IC Time Burden (Hours)	838	838
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.