Main Study - Number of Completes

Disclosures of Descriptive Presentation in Professional Oncology Prescription Drug Promotion

Documents and Forms

Document Name Document Type
Appendix D - Questionnaire.docx Other-Survey
Appendix C-Informed Consent.docx Other-Informed Consent

Information Collection (IC) Details

IC Title:	Main Study - Number of Completes	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			Appendix D - Questionnaire.docx		Yes	Yes	Fillable Fileable
Other-Informed Consent			Appendix C-Informed Consent.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,115	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,115	2,115
Annual IC Time Burden (Hours)	698	698
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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