Pretest 2 Screener

Physician Interpretation of Information About Prescription Drugs in Scientific Publications vs. Promotional Pieces

Documents and Forms

Document Name Document Type
APPENDIX A screener.docx Other-Screener
APPENDIX C recruitment materials.docx Other-Reruitment Materials

Information Collection (IC) Details

IC Title:	Pretest 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-Screener			APPENDIX A screener.docx		Yes	No	Printable Only
Other-Reruitment Materials			APPENDIX C recruitment materials.docx		Yes	No	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 850	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	850	850
Annual IC Time Burden (Hours)	26	26
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.