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Federal forms, ICRs, and supporting documents

Information Collection

Assessments of Patient and Patient Advocate Experience with the FDA For Patients Website, Patient Listening Sessions, and Patient Affairs Staff Inquiry System

IC 236349 under ICR 201710-0910-006 · OMB 0910-0697.

Documents and Forms
Document Name
Document Type
Other-Patients Website - Interview G
Other-Patient Listening Sessions - I
Other-Survey
Other-Feedback
Other-Screenshot of Web Based Survey
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Assessments of Patient and Patient Advocate Experience with the FDA For Patients Website, Patient Listening Sessions, and Patient Affairs Staff Inquiry System OC
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Patient Listening Sessions - Interview Guide Appendix II - Patient Listening Sessions - Interview Guide - External Stakeholder.docx Yes Yes Printable Only
Other-Survey Appendix III - PAS Inquiry System - Questionnaire Webform.docx Yes Yes Fillable Fileable
Other-Patients Website - Interview Guide Appendix I - For Patients Website - Interview Guide - External Stakeholder.docx Yes Yes Printable Only
Other-Feedback Appendix IV - PAS Inquiry System - Feedback Survey.docx Yes Yes Fillable Fileable
Other-Screenshot of Web Based Survey Appendix V - PAS Inquiry System - Questionnaire Webform Screenshot.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

142 0
   
Individuals or Households
 
   0 %

  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 142 0 142 0 0 0
Annual IC Time Burden (Hours) 66 0 66 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Approval Memo 0697 OMB Approval Memo PAS Inquiry System 2019.doc 06/04/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.