Information Collection

Physician Interviews on FDA-Approved Labeling

IC 238464 under ICR 201712-0910-001 · OMB 0910-0695.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Appendix A -Phone Script and Emails.docx Other-Script and Emails
Appendix B - Screener.docx Other-Screener
Appendix C - Confirmation Email.docx Other-Confirmation Email
Appendix D - Informed Consent.docx Other-Informed Consent
Appendix E - Interview Guide.docx Other-Interview Guide
0695 OMB Approval Memo for Physician Interviews on FDA Approved Labeling 2019.doc
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-Script and Emails Yes No Printable Only
Other-Screener Yes Yes Fillable Fileable
Other-Confirmation Email Yes No Printable Only
Other-Informed Consent Yes Yes Fillable Fileable
Other-Interview Guide 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 330 0 330 0 0 0
Annual IC Time Burden (Hours) 97 0 97 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 11/06/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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