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Concept Testing for Online Pharmacy Communications Campaign
FOCUS GROUPS ABOUT DRUG PRODUCTS
OMB: 0910-0677
IC ID: 199093
OMB.report
HHS/FDA
OMB 0910-0677
ICR 201008-0910-002
IC 199093
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0677 can be found here:
2020-01-10 - Extension without change of a currently approved collection
2017-03-15 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
FDA_Informed_Consent_Form_Concept Testing.doc
Other-FDA Informed Consent Form Conc
Online Pharmacy Concept Focus Group Participant Screener 8 25 2011.doc
Other-Online Pharmacy Concept - Part
Online Pharmacy Concept Focus Group Moderator Guide 8-16 2011.doc
Other-Online Pharmacy Concept - Mode
FDA Online Pharmacy Concept Testing Plan 8 25 2011.doc
Other-FDA Online Pharmacy Concept Te
OMB Clearance Memo - Concept Testing for Online Pharmacy Communications Campaign.doc
OMB Clearance Memo - Concept Testing for Online Pharmacy Communications Campaign
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Concept Testing for Online Pharmacy Communications Campaign
Agency IC Tracking Number:
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-FDA Informed Consent Form Concept Testing
FDA_Informed_Consent_Form_Concept Testing.doc
No
No
Fillable Printable
Other-Online Pharmacy Concept - Participant Screener
Online Pharmacy Concept Focus Group Participant Screener 8 25 2011.doc
No
No
Fillable Printable
Other-Online Pharmacy Concept - Moderator Guide
Online Pharmacy Concept Focus Group Moderator Guide 8-16 2011.doc
Yes
No
Fillable Printable
Other-FDA Online Pharmacy Concept Testing Plan
FDA Online Pharmacy Concept Testing Plan 8 25 2011.doc
No
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
66
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
66
0
0
0
0
0
Annual IC Time Burden (Hours)
132
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Clearance Memo - Concept Testing for Online Pharmacy Communications Campaign
OMB Clearance Memo - Concept Testing for Online Pharmacy Communications Campaign.doc
08/26/2011
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.