OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Pretest 1 and 2 Screener

IC 245715 under ICR 202109-0910-007 · OMB 0910-0897.

Documents and Forms
Document Name
Document Type
Other-Screener
Other-Screener
Other-Recruitment Materials
Other-Recruitment Materials
Other-Consent Form
Other-Consent Form
Information Collection (IC) Details

View Information Collection (IC)

Pretest 1 and 2 Screener CDER
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener Appendix B - Screener.docx Yes Yes Fillable Fileable
Other-Recruitment Materials Appendix D - Recruitment Materials.docx Yes No Printable Only
Other-Consent Form Appendix A - Consent Form.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

264 0
   
Individuals or Households
 
   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 264 0 0 0 0 264
Annual IC Time Burden (Hours) 22 0 0 0 0 22
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.