OMB
.report
Search
Pretest for a Study on Quantitative Information in Direct-to-Consumer Television Advertisements
Data to Support Drug Product Communications as Used by the FDA
OMB: 0910-0695
IC ID: 228664
OMB.report
HHS/FDA
OMB 0910-0695
ICR 201711-0910-001
IC 228664
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Appendix A - Recruitment E-mails.doc
Other-Recruitment email
Appendix B - Eligibility Screener.doc
Other-Screener
Appendix C - Questionnaire.doc
Other-Survey
Appendix D - Consent Form.doc
Other-Consent form
OMB approval request memorandum.doc
OMB approval request memorandum
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Pretest for a Study on Quantitative Information in Direct-to-Consumer Television Advertisements
Agency IC Tracking Number:
CDER
IC Status:
Unchanged
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-Recruitment email
Appendix A - Recruitment E-mails.doc
Yes
Yes
Paper Only
Other-Screener
Appendix B - Eligibility Screener.doc
Yes
Yes
Fillable Fileable
Other-Survey
Appendix C - Questionnaire.doc
Yes
Yes
Fillable Fileable
Other-Consent form
Appendix D - Consent Form.doc
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:
270
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
270
0
0
0
0
270
Annual IC Time Burden (Hours)
112
0
0
0
0
112
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB approval request memorandum
OMB approval request memorandum.doc
10/16/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.