Voluntary Adverse Event Reporting via the SRP (other than RFR reports)

FDA Adverse Event and Products Experience Reports; Electronic Submissions

0645 IC 1 CTP Wireframe TIR

Voluntary Adverse Event Reporting via the SRP (other than RFR reports)

OMB: 0910-0645

Document [pdf]
Download: pdf | pdf
Tobacco Product Investigator’s Report wireframes
December 2015

1

My Reports - TIR

Tobacco Product Investigator’s Report wireframes
December 2015

3

My Account -TIR

Tobacco Product Investigator’s Report wireframes
December 2015

4

Introduction - TIR

Tobacco Product Investigator’s Report wireframes
December 2015

Tobacco Product Investigator’s Report wireframes
December 2015

5

Contact Information - TIR

Tobacco Product Investigator’s Report wireframes
December 2015

6

Problem Summary

Tobacco Product Investigator’s Report wireframes
December 2015

Tobacco Product Investigator’s Report wireframes
December 2015

7

What are the main symptoms or health problems?

Tobacco Product Investigator’s Report wireframes
December 2015

8

Research Summary

Tobacco Product Investigator’s Report wireframes
December 2015

Tobacco Product Investigator’s Report wireframes
December 2015

9

Submission Tracking Number Details

Tobacco Product Investigator’s Report wireframes
December 2015

10

Study Tobacco Products

Tobacco Product Investigator’s Report wireframes
December 2015

Tobacco Product Investigator’s Report wireframes
December 2015

Tobacco Product Investigator’s Report wireframes
December 2015

Tobacco Product Investigator’s Report wireframes
December 2015

Tobacco Product Investigator’s Report wireframes
December 2015

Tobacco Product Investigator’s Report wireframes
December 2015

Tobacco Product Investigator’s Report wireframes
December 2015

11

Study Tobacco Product Part Details

Tobacco Product Investigator’s Report wireframes
December 2015

Tobacco Product Investigator’s Report wireframes
December 2015

12

Other Tobacco Products Used

Tobacco Product Investigator’s Report wireframes
December 2015

13

Other Tobacco Products Used Details

Tobacco Product Investigator’s Report wireframes
December 2015

Tobacco Product Investigator’s Report wireframes
December 2015

14

Additional Information

Tobacco Product Investigator’s Report wireframes
December 2015

15

Attachments

Tobacco Product Investigator’s Report wireframes
December 2015

16

Attach File


File Typeapplication/pdf
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy