Information Collection

Pre-letter, invitation, reminder, survey

IC 263599 under ICR 202311-0910-009 · OMB 0910-0929.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0929 can be found here:

Documents and Forms

Document Name Document Type
Attachment A Quant Claims Survey.docx Other-Survey
Appendix B Quant Claims Pre-Notification Letter.docx Other-Pre-notification letter
Appendix C Quant Claims Invitation Letter.docx Other-Invitation letter
Appendix D Quant Claims Reminder Postcard.docx Other-Reminder
Appendix E Quant Claims Final letter.docx Other-Final letter
Appendix F Quant Claims Official FDA Announcement for Survey.docx Other-FDA announcement of survey
Appendix G Quant Claims Post-paid Incentive Letter.docx Other-Incentive letter
Appendix A. Survey.docx Other-Survey
Appendix B. Pre-Notification Letter.docx Other-Pre-notification letter
Appendix C. Invitation Letter.docx Other-Invitation letter
Appendix D. Reminder Postcard.docx Other-Reminder postcard
Appendix E. Final letter.docx Other-Final letter
Appendix F. Official FDA Announcement for Survey.docx Other-FDA announcement of survey
Appendix G. Post-Paid Incentive Letter.docx Other-Post incentive letter

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Pre-letter, invitation, reminder, survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	Appendix A. Survey.docx	Yes	Yes	Fillable Fileable
Other-Pre-notification letter	Appendix B. Pre-Notification Letter.docx	Yes	Yes	Printable Only
Other-Invitation letter	Appendix C. Invitation Letter.docx	Yes	Yes	Fillable Fileable
Other-Reminder postcard	Appendix D. Reminder Postcard.docx	Yes	No	Printable Only
Other-Final letter	Appendix E. Final letter.docx	Yes	Yes	Fillable Fileable
Other-FDA announcement of survey	Appendix F. Official FDA Announcement for Survey.docx	Yes	No	Printable Only
Other-Post incentive letter	Appendix G. Post-Paid Incentive Letter.docx	Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,993	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,993	2,993
Annual IC Time Burden (Hours)	1,094	1,094
Annual IC Cost Burden (Dollars)	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.