Healthcare Professional Pretest Screener

Disclosures in Professional and Consumer Prescription Drug Promotion

OMB: 0910-0860

IC ID: 232568

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

View Information Collection (IC)

Healthcare Professional Pretest Screener CDER
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screeners Appendix A - Screeners.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

735 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 735 0 735 0 0 0
Annual IC Time Burden (Hours) 22 0 22 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Recruitment Forms Appendix B - Recruitment Forms.docx 08/08/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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