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2019 FDA Center for Tobacco Products' CTP E-Blast Survey
Generic Clearance for the Collection of Qualitative Feedback on Food and Drug Administration Service Delivery
OMB: 0910-0697
IC ID: 238020
OMB.report
HHS/FDA
OMB 0910-0697
ICR 201710-0910-006
IC 238020
( )
⚠️ Notice: This information collection may be referencing outdated material.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 Announcement.docx
Other-Invitation Email Announcement
Appendix B - Survey Instrument.docx
Other-Survey Instrument
Appendix C - Timeline.docx
Other-Timeline
Appendix D - Informed Consent.docx
Other-Informed Consent
0697 OMB Approval Memo for FDA CTP E-Blast Survey 2019.docx
OMB Approval Memo
IC Document
CTP RIHSC-HSP Liaison Approval Notification for Sponsor.DOCX
Liaison Apprvoal Notification to Sponsor
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
2019 FDA Center for Tobacco Products' CTP E-Blast Survey
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 Announcement
Appendix A - Invitation Email Announcement.docx
Yes
Yes
Printable Only
Other-Survey Instrument
Appendix B - Survey Instrument.docx
Yes
Yes
Fillable Fileable Signable
Other-Timeline
Appendix C - Timeline.docx
Yes
Yes
Fillable Fileable Signable
Other-Informed Consent
Appendix D - Informed Consent.docx
Yes
Yes
Fillable Fileable Signable
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:
800
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
800
0
800
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
Documents for IC
Title
Document
Date Uploaded
OMB Approval Memo
0697 OMB Approval Memo for FDA CTP E-Blast Survey 2019.docx
10/07/2019
Liaison Apprvoal Notification to Sponsor
CTP RIHSC-HSP Liaison Approval Notification for Sponsor.DOCX
10/07/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.