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

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Tobacco Product Investigator’s Report wireframes
December 2015

1

My Reports - TIR

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December 2015

3

My Account -TIR

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Introduction - TIR

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5

Contact Information - TIR

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6

Problem Summary

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7

What are the main symptoms or health problems?

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8

Research Summary

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9

Submission Tracking Number Details

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10

Study Tobacco Products

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December 2015

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December 2015

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11

Study Tobacco Product Part Details

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12

Other Tobacco Products Used

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Other Tobacco Products Used Details

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Additional Information

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15

Attachments

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Attach File


File Typeapplication/pdf
AuthorSarah Allen
File Modified2016-02-29
File Created2015-12-17

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