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Medical Countermeasures Message Testing
Focus Groups About Drug Products As Used by The Food and Drug Administration
OMB: 0910-0677
IC ID: 211655
OMB.report
HHS/FDA
OMB 0910-0677
ICR 201604-0910-008
IC 211655
( )
⚠️ Notice: This information collection may be referencing outdated material.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
APPENDIX A - SCREENING INSTRUMENT 5-13-14.docx
Other-Questionnaire
APPENDIX B - MODERATORS GUIDE 5-13-14.docx
Instruction
APPENDIX C PARTICIPANT INFO SHEET MEDICAL CM TESTING 5-13-14.docx
Other-INFO. SHEET
PROTOCOL MEDICAL CM TESTING 5-13-14.docx
Other-PROTOCOL
OMB CLEARANCE MEMO 0677 MEDICAL CM FINAL 7-25-14.doc
OMB Justification Memo - final
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Medical Countermeasures Message Testing
Agency IC Tracking Number:
CDER
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-Questionnaire
APPENDIX A - SCREENING INSTRUMENT 5-13-14.docx
No
Paper Only
Instruction
APPENDIX B - MODERATORS GUIDE 5-13-14.docx
Yes
No
Fillable Fileable
Other-INFO. SHEET
APPENDIX C PARTICIPANT INFO SHEET MEDICAL CM TESTING 5-13-14.docx
Yes
No
Fillable Fileable
Other-PROTOCOL
PROTOCOL MEDICAL CM TESTING 5-13-14.docx
Yes
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
800
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
800
0
0
0
0
800
Annual IC Time Burden (Hours)
490
0
0
0
0
490
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Justification Memo - final
OMB CLEARANCE MEMO 0677 MEDICAL CM FINAL 7-25-14.doc
07/28/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.