Rapid Message Testing With Consumer Panel - Asthma Fact Sheet

Data to Support Drug Product Communications

⚠️ Notice: This information collection may be referencing outdated material.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
Recruitment Screener.DOCX Other-Survey
Interview Guide.DOCX Other-Interview Guide
Asthma Factsheet in English.pdf Other-Factsheet in English
Asthma Factsheet in Spanish.pdf Other-Factsheet in Spanish
0695 OMB Approval Memo - Asthma Fact Sheet.docx OMB Approval Memo IC Document

Information Collection (IC) Details

IC Title:	Rapid Message Testing With Consumer Panel - Asthma Fact Sheet	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	Recruitment Screener.DOCX	Yes	Yes	Fillable Fileable
Other-Interview Guide	Interview Guide.DOCX	Yes	No	Paper Only
Other-Factsheet in English	Asthma Factsheet in English.pdf	Yes	No	Paper Only
Other-Factsheet in Spanish	Asthma Factsheet in Spanish.pdf	Yes	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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	21	21
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Approval Memo	0695 OMB Approval Memo - Asthma Fact Sheet.docx	02/08/2019

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