Information Collection

Focus Groups on Perceptions of Prescription Drug Promotion and Approval Review Process (Formative Research)

IC 237345 under ICR 201911-0910-015 · OMB 0910-0497.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Attachment A - Recruitment Advertisements.docx Other-Advertisements
Attachment B - Consumer and HCP Screeners.docx Other-Consumer and Healthcare Profes
Attachment C - Consumer Reminder Script and Email.docx Other-Consumer Reminder Script and E
Attachment D - HCP Reminder Script and Email.docx Other-Healthcare Professionals Remin
Attachment E - Consumer Informed Consent.docx Other-Consumer Informed Consent
Attachment F - HCP Informed Consent.docx Other-Healthcare Professionals Infor
Attachment G - Consumer Moderator's Guide.docx Other-Consumer Moderator's Guide
Attachment H - HCP Moderator's Guide.docx Other-Healthcare Provider Moderator'
0497 OMB Justification Memo 2019.docx
OMB Justification Memo
IC Document
0497 Nonsub Change Request November 2019.doc
0497 Nonsub Change Request
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Consumer Moderator's Guide Attachment G - Consumer Moderator's Guide.docx Yes No Printable Only
Other-Healthcare Provider Moderator's Guide Attachment H - HCP Moderator's Guide.docx Yes No Printable Only
Other-Advertisements Attachment A - Recruitment Advertisements.docx Yes No Printable Only
Other-Consumer and Healthcare Professionals Screeners Attachment B - Consumer and HCP Screeners.docx Yes No Printable Only
Other-Consumer Reminder Script and Email Attachment C - Consumer Reminder Script and Email.docx Yes No Printable Only
Other-Healthcare Professionals Reminder Script and Email Attachment D - HCP Reminder Script and Email.docx Yes No Printable Only
Other-Consumer Informed Consent Attachment E - Consumer Informed Consent.docx Yes No Paper Only
Other-Healthcare Professionals Informed Consent Attachment F - HCP Informed Consent.docx Yes No Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested 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 200 0 0 0 0 200
Annual IC Time Burden (Hours) 0 0 -185 0 0 185
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
OMB Justification Memo 0497 OMB Justification Memo 2019.docx 08/16/2019
0497 Nonsub Change Request 0497 Nonsub Change Request November 2019.doc 11/18/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.