Information Collection

End-User Testing Associated with the "Pregnancy and Lactation Labeling Rule" to Improve Health Communications and Prescribing Decisions in Pregnant Women - WAVE i

IC 241273 under ICR 201911-0910-015 · OMB 0910-0497.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Appendix 1 - Participant Screeners - Wave 1.docx Other-Screener
Appendix 2 - Recruitment Email Wave 1.docx Other-Recruitman Email
Appendix 3 - Informed Consent Wave 1.docx Other-Consent Forms
Appendix 4 PLLR Moderators guide Wave 1.docx Other-Moderator Guide
Appendix 5 Labeling examples with infographic mockup.docx Other-Labeling Examples with Infogra
0497 OMB Approval Memo PLLR - Wave 1 2020.docx
OMB Approval Memo
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-Screener Appendix 1 - Participant Screeners - Wave 1.docx Yes Yes Fillable Fileable
Other-Recruitman Email Appendix 2 - Recruitment Email Wave 1.docx Yes No Printable Only
Other-Consent Forms Appendix 3 - Informed Consent Wave 1.docx Yes Yes Fillable Fileable Signable
Other-Moderator Guide Appendix 4 PLLR Moderators guide Wave 1.docx Yes No Printable Only
Other-Labeling Examples with Infographics Appendix 5 Labeling examples with infographic mockup.docx Yes No Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 360 0 360 0 0 0
Annual IC Time Burden (Hours) 143 0 143 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 0497 OMB Approval Memo PLLR - Wave 1 2020.docx 04/08/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.