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Formative Research Study to Understand the Impact of Generic Substitutes for Various Patient and Caregiver Populations CDER
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Youth Screener Yes No Paper Only
Other-Parental Permission Form Yes No Paper Only
Other-Adult Screener Yes No Paper Only
Other-Confirmation and Reminder Emails Yes No Paper Only
Other-Adult Consent Form Yes No Paper Only
Other-Youth Assent Form Yes No Paper Only
Other-Worksheet Yes No Paper Only
Other-Moderator Guide Yes No Paper Only
Other-Cert. of Confidentiality Yes No Paper Only

Health Consumer Health and Safety

 

200 0
   
Individuals or Households
 
   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 200 0 200 0 0 0
Annual IC Time Burden (Hours) 300 0 300 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Approval Memo 06/28/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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