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Rapid Message Testing with Consumer Panel; Clinical Trials Brochure
IMPROVE Study Phase 2
OMB: 0910-0695
IC ID: 227721
OMB.report
HHS/FDA
OMB 0910-0695
ICR 201701-0910-014
IC 227721
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0695 can be found here:
2024-03-07 - Extension without change of a currently approved collection
2022-06-30 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
FDA RAPID_MSG1_Clinical Trials_Screener (English) to RN 072417.docx
Other-Interview Screening Document -
FDA RAPID_MSG1_Clinical Trials_Screener (Spanish) 072517.docx
Other-Interview Screening Document -
Brochure_English.pdf
Other-Study Brochure - English
Brochure_Spanish.pdf
Other-Study Brochure - Spanish
OMHClinicalTrials_Cognitive Interview Guide_for OMB submission_072217.docx
Other-Study Interview Guide
OMB Generic ICR Request.doc
OMB Generic ICR Request
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Rapid Message Testing with Consumer Panel; Clinical Trials Brochure
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 Screening Document - Spanish
FDA RAPID_MSG1_Clinical Trials_Screener (Spanish) 072517.docx
No
Paper Only
Other-Interview Screening Document - English
FDA RAPID_MSG1_Clinical Trials_Screener (English) to RN 072417.docx
No
Paper Only
Other-Study Brochure - English
Brochure_English.pdf
No
Paper Only
Other-Study Brochure - Spanish
Brochure_Spanish.pdf
No
Paper Only
Other-Study Interview Guide
OMHClinicalTrials_Cognitive Interview Guide_for OMB submission_072217.docx
No
Paper Only
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:
250
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
250
0
250
0
0
0
Annual IC Time Burden (Hours)
24
0
24
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Generic ICR Request
OMB Generic ICR Request.doc
07/26/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.