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Main Study - Number to Complete the Screener
Disclosures of Descriptive Presentation in Professional Oncology Prescription Drug Promotion
OMB: 0910-0864
IC ID: 232989
OMB.report
HHS/FDA
OMB 0910-0864
ICR 201809-0910-003
IC 232989
( )
Documents and Forms
Document Name
Document Type
Appendix A - Screener.docx
Other-Screener
Appendix B - Recruitment.docx
Recruitment Materials
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Main Study - Number to Complete the Screener
Agency IC Tracking Number:
Is this a Common Form?
No
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-Screener
Appendix A - Screener.docx
Yes
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:
3,525
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
3,525
0
3,525
0
0
0
Annual IC Time Burden (Hours)
106
0
106
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Recruitment Materials
Appendix B - Recruitment.docx
09/12/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.