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CDRH Rapid Message Testing with Consumers and Caregivers -- March 2023 Breast Implant Safety Communication
Testing Communications On Medical Devices and Radiation-Emitting Products
OMB: 0910-0678
IC ID: 261063
OMB.report
HHS/FDA
OMB 0910-0678
ICR 202303-0910-022
IC 261063
( )
Documents and Forms
Document Name
Document Type
Attachment A_UPDATE_ Reports of Squamous Cell Carcin--07-13-23.pdf
Other-Attachment A - FDA Safety Comm
Attachment B_MSG4 Breast Implant_Screener--07-13-23.docx
Other-Attachment B - Screener
Attachment C_Confirmation Email--07-13-23.docx
Other-Appendix C - Confirmation Emai
Attachment D_MSG4 Breast Implant_Interview Guide--07-13-23.docx
Other-Attachment D - Interview Guide
0678-memo-#4 Breast Implant Safety Communication--07-13-23.docx
OMB Memorandum
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CDRH Rapid Message Testing with Consumers and Caregivers -- March 2023 Breast Implant Safety Communication
Agency IC Tracking Number:
CDRH
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Attachment A - FDA Safety Communication, "Update: Reports of Squamous Cell Carcinoma in the Capsule Around Breast Implants"
Attachment A_UPDATE_ Reports of Squamous Cell Carcin--07-13-23.pdf
Yes
No
Printable Only
Other-Attachment B - Screener
Attachment B_MSG4 Breast Implant_Screener--07-13-23.docx
Yes
Yes
Fillable Fileable
Other-Appendix C - Confirmation Email
Attachment C_Confirmation Email--07-13-23.docx
Yes
No
Printable Only
Other-Attachment D - Interview Guide
Attachment D_MSG4 Breast Implant_Interview Guide--07-13-23.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
450
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
504
0
504
0
0
0
Annual IC Time Burden (Hours)
41
0
41
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Memorandum
0678-memo-#4 Breast Implant Safety Communication--07-13-23.docx
07/13/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.