Information Collection

Physician Interviews on FDA-Approved Labeling

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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document 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

IC Title:

Physician Interviews on FDA-Approved Labeling

Agency IC Tracking Number:

CDER

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Script and Emails	Appendix A -Phone Script and Emails.docx	Yes	No	Printable Only
Other-Screener	Appendix B - Screener.docx	Yes	Yes	Fillable Fileable
Other-Confirmation Email	Appendix C - Confirmation Email.docx	Yes	No	Printable Only
Other-Informed Consent	Appendix D - Informed Consent.docx	Yes	Yes	Fillable Fileable
Other-Interview Guide	Appendix E - Interview Guide.docx	Yes	No	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 330

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	330	330
Annual IC Time Burden (Hours)	97	97
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Approval Memo	0695 OMB Approval Memo for Physician Interviews on FDA Approved Labeling 2019.doc	11/06/2019

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