Information Collection

Rapid Message Testing with Consumers Drug Shortage Infographic

IC 260667 under ICR 202206-0910-015 · OMB 0910-0695.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Attachment A Infographic FINAL.docx Other-Recruitment
Attachment B Screener FINAL.docx Other-Screener
Attachment C Interview Guide FINAL.docx Other-Interview guide
Attachment D Stimuli FINAL.docx Other-Stimuli
Attachment E IRB FINAL.pdf
IRB
IC Document
0695 OMB Memo Drug Shortage Infographic FINAL.docx
OMB Memo / Abbreviated Supporting Statement
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-Recruitment Yes Yes Fillable Fileable
Other-Screener Yes Yes Fillable Fileable
Other-Interview guide Yes Yes Fillable Fileable
Other-Stimuli Yes No Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 1,500 0 1,500 0 0 0
Annual IC Time Burden (Hours) 87 0 87 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
IRB 06/14/2023
OMB Memo / Abbreviated Supporting Statement 06/14/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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