Information Collection

Informed Consent - Main Study

IC 242551 under ICR 202007-0910-002 · OMB 0910-0890.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0890 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix D - Informed Consent - Specialist.docx	Other-Consent Form
Appendix D - Informed Consent- General Practitioners.docx	Other-Consent Form
Appendix D - Informed Consent- OB GYN Specialist.docx	Other-Informed Consent

IC Title:

Informed Consent - Main Study

Agency IC Tracking Number:

CDER

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Consent Form	Appendix D - Informed Consent - Specialist.docx	Yes	Yes	Fillable Fileable
Other-Consent Form	Appendix D - Informed Consent- General Practitioners.docx	Yes	Yes	Fillable Fileable
Other-Informed Consent	Appendix D - Informed Consent- OB GYN Specialist.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,156

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,156	1,156
Annual IC Time Burden (Hours)	58	58
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.