Information Collection

Rapid Message Testing with Consumers - Paxlovid Information

IC 254749 under ICR 202206-0910-015 · OMB 0910-0695.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0695 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0695 PAXLOVID Patient Eligibility Screening Checklist and Drug Interaction Tool 7-20-22.pdf	Other-Patient eligibility screening
0695 Paxlovid QA Website Content 7-20-22.docx	Other-Website content
0695 Paxlovid Screener 7-20-22.docx	Other-Screener
0695 Paxlovid Interview Guide Paxlovid 7-20-22.docx	Other-Interview guide
0695 OMB memo Paxlovid 7-20-22.docx 0695 OMB Memo: Paxlovid	IC Document

IC Title:

Rapid Message Testing with Consumers - Paxlovid Information

Agency IC Tracking Number:

CDER

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Patient eligibility screening checklist	Yes	No	Fillable Printable
Other-Website content	Yes	No	Printable Only
Other-Screener	Yes	Yes	Fillable Fileable
Other-Interview guide	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 325

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	325	325
Annual IC Time Burden (Hours)	29	29
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0695 OMB Memo: Paxlovid		07/20/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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