Main Test

Medical Conference Attendees’ Observations about Prescription Drug Promotion

Documents and Forms

Document Name Document Type
Appendix A - Consent Form.docx Other-Consent Form
Appendix A - Consent Form.docx Other-Consent Form
Appendix C - Questionnaire.docx Other-Questionnaire
Appendix C - Questionnaire.docx Other-Questionnaire

Information Collection (IC) Details

IC Title:	Main Test	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 A - Consent Form.docx		Yes	Yes	Fillable Fileable
Other-Questionnaire			Appendix C - Questionnaire.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: 396	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	396	28	368
Annual IC Time Burden (Hours)	131	10	121
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.