Information Collection Request

Study of Disclosures to Health Care Providers Regarding Data that Do Not Support Unapproved Use of an Approved Prescription Drug

ICR 202106-0910-014 · OMB 0910-0900 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Supporting Statement Part B - Study of Disclosures to HealthCare Providers 2021.docx Supporting Statement B Uploaded 2021-06-25 Repair queued
Supporting Statement Part A - Study of Disclosures to HealthCare Providers 2021.docx Supporting Statement A Uploaded 2021-06-25 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
248047 Main Study Completes, Medical Condition 2 Other-Survey Instrument New
248045 Main Study Completes, Medical Condition 1 Other-Survey Instrument New
248044 Main Study Screener Other-Informed Consent New
248043 Pretest Completes Other-Survey Instrument New
248042 Pretest Screener Other-Informed Consent New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
4,596 0
812 0
0 0





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
Main Study Completes, Medical Condition 1
Main Study Completes, Medical Condition 2
Main Study Screener
Pretest Completes
Pretest Screener

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,596 0 0 4,596 0 0
Annual Time Burden (Hours) 812 0 0 812 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No