OMB
.report
Search
Number to Complete the Survey (85%) - Study 1
Quantitative Information in Direct-to-Consumer Television Advertisements Survey
OMB: 0910-0821
IC ID: 220727
OMB.report
HHS/FDA
OMB 0910-0821
ICR 201804-0910-011
IC 220727
( )
Documents and Forms
Document Name
Document Type
Appendix B - STUDY 1 QUESTIONNAIRE.doc
Other-Survey
Appendix A - CONSENT FORM.doc
Other-Consent
Appendix D - SCREENER.doc
Other-Screener
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Number to Complete the Survey (85%) - Study 1
Agency IC Tracking Number:
CDER
Is this a Common Form?
No
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-Survey
Appendix B - STUDY 1 QUESTIONNAIRE.doc
Yes
Yes
Fillable Fileable
Other-Consent
Appendix A - CONSENT FORM.doc
Yes
Yes
Fillable Fileable
Other-Screener
Appendix D - SCREENER.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:
900
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
900
0
0
0
0
900
Annual IC Time Burden (Hours)
297
0
0
0
0
297
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.