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Cognitive Interviews
Study of Oncology Indications in Direct-to-Consumer Television Advertising
OMB: 0910-0885
IC ID: 239524
OMB.report
HHS/FDA
OMB 0910-0885
ICR 202104-0910-001
IC 239524
( )
Documents and Forms
Document Name
Document Type
Appendix B - Cognitive Interviews Consent Form.docx
Other-Consent Form
Appendix B - Cognitive Interviews Consent Form.docx
Other-Consent Form
Appendix C - Study 1 Questionnaire.docx
Other-Study 1 Questionnaire
Appendix C - Study 1 Questionnaire.docx
Other-Study 1 Questionnaire
Appendix D - Study 2 Questionnaire.docx
Other-Study Questionnaire
Appendix D - Study 2 Questionnaire.docx
Other-Study Questionnaire
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Cognitive Interviews
Agency IC Tracking Number:
CDER
Is this a Common Form?
No
IC Status:
Modified
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-Consent Form
Appendix B - Cognitive Interviews Consent Form.docx
Yes
Yes
Fillable Fileable
Other-Study 1 Questionnaire
Appendix C - Study 1 Questionnaire.docx
Yes
Yes
Fillable Fileable
Other-Study Questionnaire
Appendix D - Study 2 Questionnaire.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
18
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
18
0
0
0
0
18
Annual IC Time Burden (Hours)
18
0
0
0
0
18
Annual IC Cost Burden (Dollars)
0
0
0
0
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.