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Federal forms, ICRs, and supporting documents

Information Collection

Rapid Message Testing With Consumer Panel - Medical Countermeasure Messages

IC 237679 under ICR 201712-0910-001 · OMB 0910-0695.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Recruitment Screener.docx Other-Recruitment Screener
Cognitive Interview Guide.docx Other-Interview Guide
Emergergency Use Authorized MCM Message.pdf Other-EUS MCM Message
FDA Approved MCM Message.pdf Other-FDA Approved MCM Message
No MCM Message.pdf Other-No MCM Message
0695 OMB Approval Memo - Medical Countermeasure Messages 2019.docx
OMB Approval Memo		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Recruitment Screener Yes Yes Fillable Fileable
Other-Interview Guide Yes No Printable Only
Other-EUS MCM Message Yes No Printable Only
Other-FDA Approved MCM Message Yes No Printable Only
Other-No MCM Message Yes No Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 75 0 75 0 0 0
Annual IC Time Burden (Hours) 18 0 18 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
OMB Approval Memo 09/06/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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