Main Study Screener

Study of Disclosures to Health Care Providers Regarding Data that Do Not Support Unapproved Use of an Approved Prescription Drug

OMB: 0910-0900

IC ID: 248044

Documents and Forms
Document Name
Document Type
Other-Informed Consent
Other-Informed Consent
Other-Recruitment Email and Screener
Other-Recruitment Email and Screener
Other-Main Study Screener-tracked ch
Other-Main Study Screener-tracked ch
Other-Main Study Screener-revised cl
Other-Main Study Screener-revised cl
Information Collection (IC) Details

View Information Collection (IC)

Main Study Screener CDER
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Informed Consent Appendix A - Informed Consent.docx Yes Yes Fillable Fileable
Other-Recruitment Email and Screener Appendix C - Recruitment Email and Screener.docx Yes Yes Fillable Fileable
Other-Main Study Screener-tracked changes 2. 0900 redline changes to study 7-29-2022.docx Yes Yes Fillable Fileable
Other-Main Study Screener-revised clean 3. 0900 83-C clean revised study 7-29-2022.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

2,526 0
   
Individuals or Households
 
   100 %

  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 2,526 0 0 0 0 2,526
Annual IC Time Burden (Hours) 202 0 0 0 0 202
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
© 2024 OMB.report | Privacy Policy