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Focus Group Study of Healthcare Provider Knowledge of Biosimilar Biological Products
Testing Communications on Biological Products
OMB: 0910-0687
IC ID: 214408
OMB.report
HHS/FDA
OMB 0910-0687
ICR 201412-0910-003
IC 214408
( )
Documents and Forms
Document Name
Document Type
Recruitment Screener 11-20-14.doc
Other-Questionnaire
OMB Justification for generic clearance for Focus Group Study of HP Knowledge of BBP 11-20-14.doc
OMB Justification for Generic Clearance for Focus Group Study of Healthcare Provider Knowledge of BBP
IC Document
Moderator Guide 11-20-14.doc
Moderator Guide
IC Document
Consent Form - Physicians 11-20-14.docx
Consent Form - Physician
IC Document
Consent Form - Pharmacists 11-20-14.docx
Consent Form - Pharmacists
IC Document
Consent Form - NPs & PAs 11-20-14.docx
Consent Form - NP & PA
IC Document
CITI_Lappin_20140917 11-20-14.pdf
Training Certificate - Lappin
IC Document
CITI IRB Training Certificate (Scales) 11-20-14.pdf
Training Certificate - Scales
IC Document
CITI IRB Training Certificate (Rupert) 11-20-14.pdf
Training Certificate - Rupert
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Focus Group Study of Healthcare Provider Knowledge of Biosimilar Biological Products
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-Questionnaire
Recruitment Screener 11-20-14.doc
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
240
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
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
240
0
240
0
0
0
Annual IC Time Burden (Hours)
125
0
125
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Justification for Generic Clearance for Focus Group Study of Healthcare Provider Knowledge of BBP
OMB Justification for generic clearance for Focus Group Study of HP Knowledge of BBP 11-20-14.doc
12/23/2014
Moderator Guide
Moderator Guide 11-20-14.doc
12/23/2014
Consent Form - Physician
Consent Form - Physicians 11-20-14.docx
12/23/2014
Consent Form - Pharmacists
Consent Form - Pharmacists 11-20-14.docx
12/23/2014
Consent Form - NP & PA
Consent Form - NPs & PAs 11-20-14.docx
12/23/2014
Training Certificate - Lappin
CITI_Lappin_20140917 11-20-14.pdf
12/23/2014
Training Certificate - Scales
CITI IRB Training Certificate (Scales) 11-20-14.pdf
12/23/2014
Training Certificate - Rupert
CITI IRB Training Certificate (Rupert) 11-20-14.pdf
12/23/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.