CDER COVID-19 Critical Care Drug Monitoring Survey Portal

Rapid Response Surveys

OMB: 0910-0500

IC ID: 259174

Information Collection (IC) Details

View Information Collection (IC)

CDER COVID-19 Critical Care Drug Monitoring Survey Portal CDER

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Email invitation Email Invitation final.docx Yes No Printable Only
Other-Reference guide COVID-19 Critical Care Drug Monitoring Survey Portal Reference Guide.pdf Yes No Printable Only
Other-Survey Survey Questions final.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety


300 0
Private Sector Businesses or other for-profits
   100 %

  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 15,600 0 15,600 0 0 0
Annual IC Time Burden (Hours) 3,900 0 3,900 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo / Abbreviated Supporting Statement 0500 OMB Memo COVID19 Critical Care 2023 FINAL.docx 03/16/2023
PHE waiver FDA PHE PRA Waiver Notice COVID-19 Surveys.pdf 03/16/2023
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