CONFER Study; Comprehension of Over-the-Counter Naloxone for Emergency Response

Data to Support Drug Product Communications as Used by the FDA

OMB: 0910-0695

IC ID: 223175

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

CONFER Study; Comprehension of Over-the-Counter Naloxone for Emergency Response CDER
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Study Screener Attachment A_Groups 1-3 screener_v8_clean.pdf Yes Yes Fillable Fileable
Other-Study Screener 2 Attachment B_Group 4 Screener_v8_clean.pdf Yes Yes Fillable Fileable
Other-Study Document: Provider Info. Sheet Attachment C_Provider Information Sheet_clean.pdf Yes Yes Fillable Fileable
Other-Study Document: Recruitment Flyer Attachment D_Recruitment Flyer_clean.pdf Yes Yes Fillable Fileable
Other-Study Document: Recruitment Card Attachment E_Recruitment Palm Card_clean.pdf Yes Yes Fillable Fileable
Other-Study Document: Partipation Agreement Attachment F_Agreement to Participate bc edits_clean.pdf Yes Yes Fillable Fileable
Other-Study Document: Sample Drug Facts Label Attachment G_Naloxone DFL_clean.pdf Yes Yes Fillable Fileable
Other-Study Document: Moderator Guide Attachment H_Moderator Guide_8 11 16_clean.pdf Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

2,778 0
   
Individuals or Households
 
   100 %

  Requested 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 2,778 0 0 0 0 2,778
Annual IC Time Burden (Hours) 599 0 0 0 0 599
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CONFER OMB Approval Request Memorandum 0695 CONFER Study Re Nalozone for Emergency Response OMB Approval Request Memo.pdf 08/24/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy