Information Collection

Rapid Message Testing with Healthcare Professionals - Search and Rescue Website (CDER)

IC 243753 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⚠️ Notice: This information collection may be referencing outdated material.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
Screener - Search and Rescue.docx	Other-Screener
Cognitive Interview Guide.docx	Other-Interview Guide
0695 OMB Approval Memo - Search and Rescue 2020.docx OMB Approval Memo	IC Document

IC Title:

Rapid Message Testing with Healthcare Professionals - Search and Rescue Website (CDER)

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screener			Screener - Search and Rescue.docx		Yes	Yes	Fillable Fileable
Other-Interview Guide			Cognitive 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: 150

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	20	20
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 - Search and Rescue 2020.docx	09/23/2020

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