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Main Study 1 and 2 Screener
Study of Multiple Indications in Direct-to-Consumer Television Advertisements
OMB: 0910-0897
IC ID: 245717
OMB.report
HHS/FDA
OMB 0910-0897
ICR 202109-0910-007
IC 245717
( )
Documents and Forms
Document Name
Document Type
Appendix B - Screener.docx
Other-Screener
Appendix B - Screener.docx
Other-Screener
Appendix D - Recruitment Materials.docx
Other-Recruitment Materials
Appendix D - Recruitment Materials.docx
Other-Recruitment Materials
Appendix A - Consent Form.docx
Other-Consent Form
Appendix A - Consent Form.docx
Other-Consent Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Main Study 1 and 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-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
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:
1,770
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
1,770
0
0
0
0
1,770
Annual IC Time Burden (Hours)
147
0
0
0
0
147
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.