Rapid Message Testing with Consumer Panel - Opioid Analgesics Patient Counseling Guide

Data to Support Drug Product Communications as Used by the FDA

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Recruiting Screener.docx Other-Survey
Consent Form.docx Other-Consent
Opioid Analgesic Patient Counseling Guide.pdf Other-Patient Counseling Guide
0695 OMB Approval Memo - Project 4 - Opoid Analgesics Patient Counseling Guide.docx OMB approval memorandum IC Document

Information Collection (IC) Details

IC Title:	Rapid Message Testing with Consumer Panel - Opioid Analgesics Patient Counseling Guide	Agency IC Tracking Number:	OC

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	Recruiting Screener.docx	Yes	Yes	Fillable Fileable
Other-Consent	Consent Form.docx	Yes	Yes	Fillable Fileable
Other-Patient Counseling Guide	Opioid Analgesic Patient Counseling Guide.pdf	Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 265	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	265	265
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB approval memorandum	0695 OMB Approval Memo - Project 4 - Opoid Analgesics Patient Counseling Guide.docx	11/21/2017

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