Information Collection

Rapid Message Testing with Consumer Panel; Clinical Trials Brochure

IC 227721 under ICR 201711-0910-001 · OMB 0910-0695.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0695 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FDA RAPID_MSG1_Clinical Trials_Screener (English) to RN 072417.docx	Other-Interview Screening Document -
FDA RAPID_MSG1_Clinical Trials_Screener (Spanish) 072517.docx	Other-Interview Screening Document -
Brochure_English.pdf	Other-Study Brochure - English
Brochure_Spanish.pdf	Other-Study Brochure - Spanish
OMHClinicalTrials_Cognitive Interview Guide_for OMB submission_072217.docx	Other-Study Interview Guide
OMB Generic ICR Request.doc OMB Generic ICR Request	IC Document

IC Title:

Rapid Message Testing with Consumer Panel; Clinical Trials Brochure

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Interview Screening Document - English	FDA RAPID_MSG1_Clinical Trials_Screener (English) to RN 072417.docx	No	Paper Only
Other-Interview Screening Document - Spanish	FDA RAPID_MSG1_Clinical Trials_Screener (Spanish) 072517.docx	No	Paper Only
Other-Study Brochure - English	Brochure_English.pdf	No	Paper Only
Other-Study Brochure - Spanish	Brochure_Spanish.pdf	No	Paper Only
Other-Study Interview Guide	OMHClinicalTrials_Cognitive Interview Guide_for OMB submission_072217.docx	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Generic ICR Request	OMB Generic ICR Request.doc	07/26/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.