Study 2

Examination of Online Direct-to-Consumer Prescription Drug Promotion

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0714 can be found here:

Documents and Forms

Document Name Document Type
Phase 2 Questionnaire - Acid Reflux.doc Other-questionnaire
Phase 2 Questionnaire - High Blood Pressure.doc Other-questionnaire

Information Collection (IC) Details

IC Title:	Study 2	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 21 CFR 202.1(e)(5) and (ii)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-questionnaire			Phase 2 Questionnaire - High Blood Pressure.doc		Yes	No	Printable Only
Other-questionnaire			Phase 2 Questionnaire - Acid Reflux.doc		Yes	No	Printable Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	833	833
Annual IC Cost Burden (Dollars)	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.