Individual Interview Study of Healthcare Provider Perceptions of Boxed Warnings

Data to Support Drug Product Communications

OMB: 0910-0695

IC ID: 230240

Documents and Forms
Document Name
Document Type
Other-Screener
Other-Moderator Guide
Other-Consent Form for PCP
Other-Consent Form for Specialists
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Individual Interview Study of Healthcare Provider Perceptions of Boxed Warnings CDER
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener Participant Screener.docx Yes Yes Fillable Fileable
Other-Moderator Guide Moderator Guide.docx No   Paper Only
Other-Consent Form for PCP Consent Form for Primary Care Providers.docx Yes Yes Fillable Fileable
Other-Consent Form for Specialists Consent Form for Specialists.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

100 0
   
Individuals or Households
 
   0 %

  Requested 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 100 0 0 0 0 100
Annual IC Time Burden (Hours) 60 0 0 0 0 60
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB approval memo 0695 OMB approval memo for HCP Perceptions of Boxed Warnings.docx 02/23/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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