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Federal forms, ICRs, and supporting documents

Information Collection

Healthcare Professional Interviews: Data Disclosures in Communications About Prescription Drugs

IC 238253 under ICR 201712-0910-001 · OMB 0910-0695.

Documents and Forms
Document Name
Document Type
Other-Email, Screener, and Invitatio
Other-Email, Screener, and Invitatio
Other-Confirmation email
Other-Informed Consents
Other-Reminder email
Other-Interview Guide
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Healthcare Professional Interviews: Data Disclosures in Communications About Prescription Drugs CDER
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Email, Screener, and Invitation for Oncologists Appendix A-Email_Screener_Invitation Oncologists.docx Yes Yes Fillable Fileable
Other-Email, Screener, and Invitation for PCPs Appendix B-Email_Screener_Invitation PCPs.docx Yes Yes Fillable Fileable
Other-Confirmation email Appendix C - Confirmation Email Letter.docx Yes Yes Printable Only
Other-Informed Consents Appendix D - Informed Consent.docx Yes Yes Fillable Fileable
Other-Reminder email Appendix E - Reminder Email.docx Yes Yes Printable Only
Other-Interview Guide Appendix F - Remote Interview Guide.docx Yes No Printable Only

Health Consumer Health and Safety

 

140 0
   
Individuals or Households
 
   0 %

  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 140 0 140 0 0 0
Annual IC Time Burden (Hours) 87 0 87 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Approval Memo 0695 OMB Approval Memo-Data Disclosures 2019.docx 10/23/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.