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Federal forms, ICRs, and supporting documents

Information Collection

Risk Evaluation and Mitigation Strategy (REMS) Programs to Promote Appropriate Medication Use and Knowledge: Physician Experiences with REMS Programs (CDER)

IC 250492 under ICR 202205-0910-005 · OMB 0910-0847.

Documents and Forms
Document Name
Document Type
Other-Invitation
Other-Invitation
Other-Consent Form
Other-Consent Form
Other-Survey - Ambrisentan
Other-Survey - Ambrisentan
Other-Survey - Bosentan
Other-Survey - Bosentan
Other-Survey - Clozapine
Other-Survey - Clozapine
Other-Survey - Isotretinoin
Other-Survey - Isotretinoin
Other-Survey - Lenalidomide-Pomalido
Other-Survey - Lenalidomide-Pomalido
Other-Survey - Sodium Oxybate
Other-Survey - Sodium Oxybate
Other-Reminder Letter
Other-Reminder Letter
Other-IRB Letter
Other-IRB Letter
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Risk Evaluation and Mitigation Strategy (REMS) Programs to Promote Appropriate Medication Use and Knowledge: Physician Experiences with REMS Programs (CDER) CDER
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Invitation Invitation Letter.docx Yes No Paper Only
Other-Consent Form Consent Form.docx Yes No Paper Only
Other-Survey - Ambrisentan Physician Survey - Ambrisentan.docx Yes Yes Fillable Fileable
Other-Survey - Bosentan Physician Survey - Bosentan.docx Yes Yes Fillable Fileable
Other-Survey - Clozapine Physician Survey - Clozapine.docx Yes Yes Fillable Fileable
Other-Survey - Isotretinoin Physician Survey - Isotretinoin.docx Yes Yes Fillable Fileable
Other-Survey - Lenalidomide-Pomalidomide-Thalidomide Physician Survey - Lenalidomide-Pomalidomide-Thalidomide.docx Yes Yes Fillable Fileable
Other-Survey - Sodium Oxybate Physician Survey - Sodium Oxybate.docx Yes Yes Fillable Fileable
Other-Reminder Letter Reminder Letter.docx Yes No Printable Only
Other-IRB Letter IRB Approval Letter 2021P002109.pdf Yes No Printable Only

Health Health Care Services

 

1,200 0
   
Individuals or Households
 
   0 %

  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 1,200 0 0 0 0 1,200
Annual IC Time Burden (Hours) 400 0 0 0 0 400
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Approval Memo 0847 OMB Approval Memo - REMS Physician Experience Surveys 2021.docx 11/23/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.