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Rapid Message Testing with Consumer Panel - Public Service Announcements About Safe Disposal of Opioids
Data to Support Drug Product Communications
OMB: 0910-0695
IC ID: 232370
OMB.report
HHS/FDA
OMB 0910-0695
ICR 201712-0910-001
IC 232370
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0695 can be found here:
2024-03-07 - 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
Opioid PSA Screener.DOCX
Other-Screener
Opioid Medicine Cabinet PSA English Interview Guide.docx
Other-English Interview Guide
PSAscript_MedicineCabinet_60sec_English 6.25 for CDER_with alternate slide 8.pd
Other-Script - English with Alternat
Nephew PSA Spanish Interview Guide.docx
Other-Spanish Interview Guide
PSAscript_Nephew_60sec_Spanish 6.25 FOR CDER_with alternate slide 5.pdf
Other-Script - Spanish with Alternat
PSAscript_Nephew_60sec_English 6.25 FOR CDER_with alternate slide 5.pdf
Other-Script - English with Alternat
0695 OMB approval memo - Safe Disposal of Opioids 2018.docx
OMB approval memo
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Rapid Message Testing with Consumer Panel - Public Service Announcements About Safe Disposal of Opioids
Agency IC Tracking Number:
OC
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-Screener
Opioid PSA Screener.DOCX
No
Paper Only
Other-English Interview Guide
Opioid Medicine Cabinet PSA English Interview Guide.docx
No
Paper Only
Other-Script - English with Alternate Slide 8
PSAscript_MedicineCabinet_60sec_English 6.25 for CDER_with alternate slide 8.pd
No
Paper Only
Other-Spanish Interview Guide
Nephew PSA Spanish Interview Guide.docx
No
Paper Only
Other-Script - Spanish with Alternate Slide 5
PSAscript_Nephew_60sec_Spanish 6.25 FOR CDER_with alternate slide 5.pdf
No
Paper Only
Other-Script - English with Alternate Slide 5
PSAscript_Nephew_60sec_English 6.25 FOR CDER_with alternate slide 5.pdf
No
Paper Only
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:
250
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
250
0
250
0
0
0
Annual IC Time Burden (Hours)
21
0
21
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB approval memo
0695 OMB approval memo - Safe Disposal of Opioids 2018.docx
07/25/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.