Information Collection

Assessment of Physician Applicants' Experiences with FDA's Expanded Access and Compassionate Use Programs

IC 229145 under ICR 201709-0910-006 · OMB 0910-0360.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0360 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Physician Survey.pdf	Other-Survey
Consent Form.docx	Other-Consent Form
0360 OMB Approval Memo EA and CU Programs.doc OMB approval memorandum	IC Document

IC Title:

Assessment of Physician Applicants' Experiences with FDA's Expanded Access and Compassionate Use Programs

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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-Survey			Physician Survey.pdf		Yes	Yes	Fillable Fileable
Other-Consent Form			Consent Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	67	67
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB approval memorandum	0360 OMB Approval Memo EA and CU Programs.doc	11/27/2017

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