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Screener and Main Study
Targeted Mechanism of Action Presentations in Prescription Drug Promotion
OMB: 0910-0908
IC ID: 256440
OMB.report
HHS/FDA
OMB 0910-0908
ICR 202305-0910-004
IC 256440
( )
Documents and Forms
Document Name
Document Type
Targeted MOA Study Questionnaire 10-14-22 final.docx
Other-Questionnaire
Targeted MOA Study Questionnaire 10-14-22 final.docx
Other-Questionnaire
Final Questionnaire tracked changes May 2023.docx
Other-Questionnaire (tracked changes
Final Questionnaire tracked changes May 2023.docx
Other-Questionnaire (tracked changes
Final Questionnaire Final CLEAN May 2023.docx
Other-Questionnaire (clean)
Final Questionnaire Final CLEAN May 2023.docx
Other-Questionnaire (clean)
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Screener and Main Study
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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-Questionnaire
Targeted MOA Study Questionnaire 10-14-22 final.docx
Yes
Yes
Fillable Fileable
Other-Questionnaire (tracked changes)
Final Questionnaire tracked changes May 2023.docx
Yes
Yes
Fillable Fileable
Other-Questionnaire (clean)
Final Questionnaire Final CLEAN May 2023.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:
990
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
990
0
0
0
0
990
Annual IC Time Burden (Hours)
891
0
0
0
0
891
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.