Abbreviated Supporting Statement

FDA/CDER

DOCUMENTATION FOR THE GENERIC CLEARANCE

OF FOCUS GROUPS

TITLE OF INFORMATION COLLECTION: [insert]

DESCRIPTION OF THIS SPECIFIC COLLECTION

1. Statement of need:

[insert]

2. Intended use of information:

[insert]

3. Description of respondents:

[insert]

4. Date(s) and location(s):

[insert]

5. Collection procedures:

[insert]

6. Number of focus groups:

[insert]

7. Amount and justification for any proposed incentive:

[insert]

BURDEN HOUR COMPUTATION (Number of responses (X) estimated response or participation time in minutes (/60) = annual burden hours):

Type/Category of Respondent	No. of Respondents	Participation Time (minutes)	Burden (hours)

REQUESTED APPROVAL DATE: [insert]

NAME OF CONTACT PERSON: [insert]

FDA/CDER OFFICE: [insert]

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