Study 2 Screener

Study of Oncology Indications in Direct-to-Consumer Television Advertising

Documents and Forms

Document Name Document Type
Appendix F - Pretest and Main Studies Recruitment Materials.docx Other-Pretest and Main Studies Recru
Appendix F - Pretest and Main Studies Recruitment Materials.docx Other-Pretest and Main Studies Recru
Appendix G - Screener.docx Other-Study Screener
Appendix G - Screener.docx Other-Study Screener

Information Collection (IC) Details

IC Title:	Study 2 Screener	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-Pretest and Main Studies Recruitment Materials			Appendix F - Pretest and Main Studies Recruitment Materials.docx		Yes	No	Printable Only
Other-Study Screener			Appendix G - Screener.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,196	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	Previously Approved
Annual Number of Responses for this IC	1,196	329	867
Annual IC Time Burden (Hours)	96	27	69
Annual IC Cost Burden (Dollars)	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.