Information Collection

Study 2 - Screener

IC 236696 under ICR 201906-0910-011 · OMB 0910-0874.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0874 can be found here:

Documents and Forms

Document Name Document Type
Project Screeners.docx Other-Screeners

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Study 2 - Screener	Agency IC Tracking Number:	CDER

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-Screeners			Project Screeners.docx		Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,643	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	2,643	2,643
Annual IC Time Burden (Hours)	211	211
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.