Information Collection

Educating Groups Influencing Generic Drug Use

IC 230242 under ICR 201803-0910-011 · OMB 0910-0695.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Appendix A - Recruitment Materials.pdf Other-Recruitment Email
Appendix B - Verbal Consents for Interviews.pdf Other-Verbal Consents
Appendix C - Consents for Surveys.pdf Other-Consent Forms for Surveys
Appendix D - Protocol for Formulary Managers.pdf Other-Protocol for Formulary Manager
Appendix E - Protocol for Large Purchasers.pdf Other-Protocol for Large Purchasers
Appendix F - Protocol for Policymakers.pdf Other-Protocol for Policymakers
Appendix G - Protocol for Prescribers.pdf Other-Protocol for Prescribers
Appendix H - Protocol for Pharmacists.pdf Other-Protocol for Pharmacists
Appendix I - Protocol for Patients and Caregivers.pdf Other-Protocol for Patients and Care
0695 OMB approval memo for educating groups influencing generic drug use.docx
OMB approval memo
IC Document

Information Collection (IC) Details

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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 Email Appendix A - Recruitment Materials.pdf No   Paper Only
Other-Verbal Consents Appendix B - Verbal Consents for Interviews.pdf No   Paper Only
Other-Consent Forms for Surveys Appendix C - Consents for Surveys.pdf Yes Yes Fillable Fileable
Other-Protocol for Formulary Managers Appendix D - Protocol for Formulary Managers.pdf No   Paper Only
Other-Protocol for Large Purchasers Appendix E - Protocol for Large Purchasers.pdf No   Paper Only
Other-Protocol for Policymakers Appendix F - Protocol for Policymakers.pdf No   Paper Only
Other-Protocol for Prescribers Appendix G - Protocol for Prescribers.pdf No   Paper Only
Other-Protocol for Pharmacists Appendix H - Protocol for Pharmacists.pdf No   Paper Only
Other-Protocol for Patients and Caregivers Appendix I - Protocol for Patients and Caregivers.pdf No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 327 0 0 0 0 327
Annual IC Time Burden (Hours) 137 0 0 0 0 137
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 0695 OMB approval memo for educating groups influencing generic drug use.docx 02/26/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.