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(OC) Assessments of Patient and Patient Advocate Experience with the FDA For Patients Website and FDA Patient Listening Session program
Qualitative Feedback on Food and Drug Administration Service Delivery
OMB: 0910-0697
IC ID: 265992
OMB.report
HHS/FDA
OMB 0910-0697
ICR 202311-0910-013
IC 265992
( )
Documents and Forms
Document Name
Document Type
Appendix 1 For Patients Website Interview Guide FINAL.docx
Other-Interview guide
Appendix 1a Consent for Website Interview Participants FINAL.docx
Other-Consent
Appendix 2 For Patients Website Post Listening Session Survey FINAL.docx
Other-Post-interview survey
OMB Memo For Patients Website FINAL.docx
OMB Memo / Abbreviated Supporting Statement
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
(OC) Assessments of Patient and Patient Advocate Experience with the FDA For Patients Website and FDA Patient Listening Session program
Agency IC Tracking Number:
OC
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-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
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:
142
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
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
Documents for IC
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.