Information Collection

Improving FDA Health Communications with Older Women Regarding FDA-Regulated Products (CDER)

IC 238930 under ICR 202205-0910-005 · OMB 0910-0847.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Consent Form.docx Other-Consent Form
Consent Form.docx Other-Consent Form
Screener and Scheduling Script.docx Other-Script
Screener and Scheduling Script.docx Other-Script
Reminder Email.docx Other-Reminder Email
Reminder Email.docx Other-Reminder Email
Drug Safety Health Communication Tool.pdf Other-Drug Safety Health Communicati
Drug Safety Health Communication Tool.pdf Other-Drug Safety Health Communicati
Phase 1b Moderator Guide.docx Other-Moderator Guide
Phase 1b Moderator Guide.docx Other-Moderator Guide
Guide on Medicine for Older Adults.pdf Other-Guide on Medicine
Guide on Medicine for Older Adults.pdf Other-Guide on Medicine
Screenshots of CDER Communications to Patients.doc Other-Screenshot of CDER Communicati
Screenshots of CDER Communications to Patients.doc Other-Screenshot of CDER Communicati
Screenshots of Vaccine Communications.docx Other-Screenshot of Vaccine Communic
Screenshots of Vaccine Communications.docx Other-Screenshot of Vaccine Communic
Medication Risk and Benefit Brochure.pdf Other-Medication Risk and Benefit Br
Medication Risk and Benefit Brochure.pdf Other-Medication Risk and Benefit Br
Questionnaire.docx Other-Survey Instrument
Questionnaire.docx Other-Survey Instrument
0847 OMB Approval Memo for Improving FDA Health Comm with Older Women 2020.doc
OMB Approval Memo
IC Document
0847 OMB Approval Memo for Improving FDA Health Comm with Older Women 2020.doc
OMB Approval Memo
IC Document

Information Collection (IC) Details

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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-Consent Form Consent Form.docx Yes No Paper Only
Other-Script Screener and Scheduling Script.docx Yes No Paper Only
Other-Reminder Email Reminder Email.docx Yes No Printable Only
Other-Drug Safety Health Communication Tool Drug Safety Health Communication Tool.pdf Yes No Paper Only
Other-Moderator Guide Phase 1b Moderator Guide.docx Yes No Paper Only
Other-Guide on Medicine Guide on Medicine for Older Adults.pdf Yes No Paper Only
Other-Screenshot of CDER Communications Screenshots of CDER Communications to Patients.doc Yes No Paper Only
Other-Screenshot of Vaccine Communication Screenshots of Vaccine Communications.docx Yes No Paper Only
Other-Medication Risk and Benefit Brochure Medication Risk and Benefit Brochure.pdf Yes No Paper Only
Other-Survey Instrument Questionnaire.docx Yes 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 192 0 0 0 0 192
Annual IC Time Burden (Hours) 384 0 0 0 0 384
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
OMB Approval Memo 0847 OMB Approval Memo for Improving FDA Health Comm with Older Women 2020.doc 01/06/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.