View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Naloxone Pilot Label Comprehension Questionnaire to Optimize the Drug Facts Label (Task 2) CDER
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Study Screener Yes Yes Fillable Fileable
Other-Closing Script and Contact Info 1-2 Yes Yes Fillable Fileable
Other-Study Screener Yes Yes Fillable Fileable
Other-Closing Script and Contact Info 4 Yes Yes Fillable Fileable
Other-Interview Guide Yes Yes Fillable Fileable
Other-Provider Info Yes Yes Fillable Fileable
Other-Recruitment Flyer Yes Yes Fillable Fileable
Other-Recruitment Cards Yes Yes Fillable Fileable
Other-Online Screener Yes Yes Fillable Fileable
Other-Online Ad Yes Yes Fillable Fileable
Other-Consent Form 1-2 Yes Yes Fillable Fileable
Other-Consent Form 4 Yes Yes Fillable Fileable
Other-Label: Injector Supine Yes Yes Fillable Fileable
Other-Label: Nasal Supine Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

177 0
   
Individuals or Households
 
   100 %

  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 177 0 0 0 0 177
Annual IC Time Burden (Hours) 40 0 0 0 0 40
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CONFER OIMB Approval Request Memo 06/05/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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