OMB.report

Federal forms, ICRs, and supporting documents

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.

Documents and Forms
Document Name
Document Type
Other-Survey
Other-Consent Form
IC Document
Information Collection (IC) Details

View Information Collection (IC)

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

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

Health Health Care Services

 

200 0
   
Private Sector Businesses or other for-profits
 
   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 200 0 200 0 0 0
Annual IC Time Burden (Hours) 67 0 67 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.