Information Collection

Collection of Data to Support Training Decay Selection for Medical Product Usability Validation Testing (CDER)

IC 238929 under ICR 202205-0910-005 · OMB 0910-0847.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Moderators Script.docx Other-Moderator Script
Moderators Script.docx Other-Moderator Script
Initial Training Script.docx Other-Initial Training Script
Initial Training Script.docx Other-Initial Training Script
Informed Consent Form for All Participants.docx Other-Consent Forms
Informed Consent Form for All Participants.docx Other-Consent Forms
Protocol.docx Other-Protocol
Protocol.docx Other-Protocol
UserWiseFDA05_rev02_End of Study Questionnaire_09Dec19.pdf Other-post-survey questionnaire
UserWiseFDA05_rev02_End of Study Questionnaire_09Dec19.pdf Other-post-survey questionnaire
0847 OMB Approval Memo Training Decay 2019.docx
0847 OMB Approval Memo
IC Document
0847 OMB Approval Memo Training Decay 2019.docx
0847 OMB Approval Memo
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Moderator Script Moderators Script.docx Yes No Paper Only
Other-Initial Training Script Initial Training Script.docx Yes No Paper Only
Other-Consent Forms Informed Consent Form for All Participants.docx Yes No Paper Only
Other-Protocol Protocol.docx Yes No Paper Only
Other-post-survey questionnaire UserWiseFDA05_rev02_End of Study Questionnaire_09Dec19.pdf No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested 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 139 0 0 0 0 139
Annual IC Time Burden (Hours) 348 0 0 0 0 348
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
0847 OMB Approval Memo 0847 OMB Approval Memo Training Decay 2019.docx 12/12/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.