Information Collection

Risk Evaluation and Mitigation Strategy Programs to Promote Appropriate Medication Use and Knowledge: Physician Interviews on Experiences with REMS Programs (CDER)

IC 250770 under ICR 201910-0910-010 · OMB 0910-0847.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Recruitment Messages - Physician.docx Other-Recruitment Message - Physicia
Recruitment Message - Professional Society.docx Other-Recruitment Message - Professi
Consent Form.docx Other-Consent
Interview Guide - Alemtuzumab.docx Other-Interview Guide - Alemtuzumab
Interview Guide - Alvimopan.docx Other-Alvimopan
Interview Guide - Pegvaliase.docx Other-Interview Guide - Pegvaliase
IRB Letter 2021P002615.pdf Other-IRB Letter
0847 OMB Approval Memo - REMS Physician Experience Interviews (3 Covered Drugs) 2021.docx
OMB Approval Memo
IC Document

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Information Collection Instruments:
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Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Recruitment Message - Physicians Yes No Printable Only
Other-Recruitment Message - Professional Society Yes No Printable Only
Other-Consent Yes No Printable Only
Other-Interview Guide - Alemtuzumab Yes No Printable Only
Other-Alvimopan Yes No Printable Only
Other-Interview Guide - Pegvaliase Yes No Printable Only
Other-IRB Letter Yes No Printable Only

Federal Enterprise Architecture Business Reference Module


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  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 60 0 60 0 0 0
Annual IC Time Burden (Hours) 60 0 60 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
OMB Approval Memo 12/15/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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