Pretest Screener

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

OMB: 0910-0900

IC ID: 248042

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

View Information Collection (IC)

Pretest Screener CDER
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Informed Consent Appendix A - Informed Consent.docx Yes Yes Fillable Fileable
Other-Recruitment Email and Screener Appendix C - Recruitment Email and Screener.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

290 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 290 0 0 0 0 290
Annual IC Time Burden (Hours) 23 0 0 0 0 23
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.

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