OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Prescription Drug Use Related Software Study (CDER)

IC 250778 under ICR 202206-0910-015 · OMB 0910-0695.

Documents and Forms
Document Name
Document Type
Other-Screeners
Other-Screeners
Other-Confirmation and Reminder Emai
Other-Confirmation and Reminder Emai
Other-Consent Form
Other-Consent Form
Other-Moderator Guide
Other-Moderator Guide
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Prescription Drug Use Related Software Study (CDER) CDER
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screeners Appendix A - Screeners.docx Yes Yes Fillable Fileable
Other-Confirmation and Reminder Emails Appendix B - Confirmation and Reminder Email.docx Yes No Printable Only
Other-Consent Form Appendix C - Informed Consent.docx Yes No Printable Only
Other-Moderator Guide Appendix D - Moderator Guide.docx Yes No Printable Only

Health Health Care Services

 

186 0
   
Individuals or Households
 
   0 %

  Requested 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 186 0 0 0 0 186
Annual IC Time Burden (Hours) 54 0 0 0 0 54
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Approval Memo 0695 OMB Approval Memo - Prescription Drug Use Related Software 2021.docx 12/14/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.