OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Number to Complete the Screener (10%) - Study 2

IC 220729 under ICR 201804-0910-011 · OMB 0910-0821.

Documents and Forms
Document Name
Document Type
Other-Screener
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Number to Complete the Screener (10%) - Study 2 CDER
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener Appendix D - SCREENER.doc Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

1,513 0
   
Individuals or Households
 
   100 %

  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 1,513 0 0 0 0 1,513
Annual IC Time Burden (Hours) 76 0 0 0 0 76
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Recruitment Emails Appendix E - RECRUITMENT EMAILS.doc 03/24/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.