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FDA CTP Exchange Lab Syndication Study - Current Users
Generic Clearance for the Collection of Qualitative Feedback on Food and Drug Administration Service Delivery
OMB: 0910-0697
IC ID: 236405
OMB.report
HHS/FDA
OMB 0910-0697
ICR 201710-0910-006
IC 236405
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0697 can be found here:
2023-11-28 - Extension without change of a currently approved collection
2022-06-30 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Appendix A Invitation Email - Current Users.docx
Other-Invitation Email
Appendix B Survey Instrument - Current Users.docx
Other-Survey Instrument
Appendix C Informed Consent - Current Users.docx
Other-Informed Consent
0697 OMB Approval Memo for FDA CTP Exchange Lab Syndication Study - Current Users 2019.docx
OMB Approval Memo
IC Document
IRB Letter - Current Users .pdf
IRB Letter
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
FDA CTP Exchange Lab Syndication Study - Current Users
Agency IC Tracking Number:
CTP
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-Invitation Email
Appendix A Invitation Email - Current Users.docx
Yes
Yes
Fillable Printable
Other-Survey Instrument
Appendix B Survey Instrument - Current Users.docx
Yes
Yes
Fillable Printable
Other-Informed Consent
Appendix C Informed Consent - Current Users.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
175
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
175
0
175
0
0
0
Annual IC Time Burden (Hours)
47
0
47
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Approval Memo
0697 OMB Approval Memo for FDA CTP Exchange Lab Syndication Study - Current Users 2019.docx
06/10/2019
IRB Letter
IRB Letter - Current Users .pdf
06/10/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.