Information Collection

Strengthening Food and Drug Administration's (FDA) Ability to Communicate Health and Safety Information to Minority Populations About Pediatric COVID-19 Vaccines and Vaccine Boosters Utilizing Social

IC 263755 under ICR 202311-0910-005 · OMB 0910-0847.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0847 can be found here:

2026-02-20 - Revision of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Invite Letter - Email.docx	Other-Email Invite
Information Sheet.docx	Other-Information Sheet
Pediatric COVID-19 Vaccines Survey.docx	Other-Survey
0847 OMB Memo_Pediatric COVID-19 Vaccines and Vaccine Boosters 2023.docx Gen IC Memo (A)	IC Document
Supporting Statement Part B_Pediatric COVID-19 Vaccines.docx Gen IC Memo (B)	IC Document
IRB Determination Letter.docx IRB Letter	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Strengthening Food and Drug Administration's (FDA) Ability to Communicate Health and Safety Information to Minority Populations About Pediatric COVID-19 Vaccines and Vaccine Boosters Utilizing Social

Agency IC Tracking Number:

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-Email Invite	Yes	Yes	Fillable Printable
Other-Information Sheet	Yes	Yes	Fillable Printable
Other-Survey	Yes	Yes	Fillable Printable

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: 2,150

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	2,150	2,150
Annual IC Time Burden (Hours)	1,254	1,254
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Gen IC Memo (A)		12/01/2023
Gen IC Memo (B)		12/01/2023
IRB Letter		12/01/2023

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

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