OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

(OC) Assessments of Patient and Patient Advocate Experience with the FDA For Patients Website and FDA Patient Listening Session program

IC 265992 under ICR 202311-0910-013 · OMB 0910-0697.

Documents and Forms
Document Name
Document Type
Other-Interview guide
Other-Consent
Other-Post-interview survey
IC Document
Information Collection (IC) Details

View Information Collection (IC)

(OC) Assessments of Patient and Patient Advocate Experience with the FDA For Patients Website and FDA Patient Listening Session program OC
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interview guide Appendix 1 For Patients Website Interview Guide FINAL.docx Yes Yes Fillable Fileable
Other-Consent Appendix 1a Consent for Website Interview Participants FINAL.docx Yes Yes Fillable Fileable Signable
Other-Post-interview survey Appendix 2 For Patients Website Post Listening Session Survey FINAL.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

142 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 142 0 142 0 0 0
Annual IC Time Burden (Hours) 25 0 25 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo / Abbreviated Supporting Statement OMB Memo For Patients Website FINAL.docx 03/14/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.