Information Collection

FDA CTP Exchange Lab Syndication Study - Current Users

IC 236405 under ICR 201710-0910-006 · OMB 0910-0697.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0697 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of instruments
Document Type	Instrument File	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

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	175	175
Annual IC Time Burden (Hours)	47	47
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.