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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Focus Group Testing of Consumer Messaging on Participation of Diverse Women in Clinical Trials
Agency IC Tracking Number:
OC
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-Moderator Guide
Clinical Trials Moderator Guide FINAL 07_02_15.doc
No
Printable Only
Other-Screener Guide
Clinical Trials Screener Guide FINAL 07_01_15.doc
No
Printable Only
Other-Consent Form
Consent Form_Clinical Trials_FINAL 07_01_15.docx
No
Printable Only
Other-Fact Sheet Check
Fact Sheet Check_Clinical Trials FINAL 07_02_15.docx
No
Printable Only
Other-Flyer
WomenandClinicalTrials_Flyer_Draft copy.docx
No
Printable Only
Other-Clinical Trials Information Sheet
Clinical Trials 2013.pdf
No
Printable 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:
99
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
99
0
99
0
0
0
Annual IC Time Burden (Hours)
42
0
42
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement Memo
FDA OWH Diverse Women in Clinical Trials Focus Groups - OMB 0910-0497.doc
07/30/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.