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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Evaluating a Structured Reporting Template to Increase Transparency and Reduce Review Time for Healthcare Database Studies
Agency IC Tracking Number:
CDER
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-List of Stakeholders
Appendix A - List of Potential Stakeholders.docx
Yes
No
Printable Only
Other-Invitation Letter
Appendix B - Invitation Letter.docx
Yes
No
Printable Only
Other-User Guide
Appendix B2 - User Guide.docx
Yes
No
Printable Only
Other-Task Force Paper
Appendix B3 - ISPE-ISPOR Joint Task Force Paper.pdf
Yes
No
Printable Only
Other-Visualization Paper
Appendix B4 - Design Visualization Paper.pdf
Yes
No
Printable Only
Other-Informed Consent
Appendix C - Consent Form.docx
Yes
No
Paper Only
Other-Notification of Eligibility
Appendix D - Notification of Eligibility.docx
Yes
No
Printable Only
Other-Follow up Email
Appendix E - Follow-up email for Acknowledgement Permission.docx
Yes
No
Printable Only
Other-Moderator Guide
Appendix F - Moderator Guide.pptx
Yes
No
Printable Only
Other-Background Rationale
Appendix F1 - Background Rationale.pptx
Yes
No
Printable Only
Other-Protocol
Structured Reporting Evaluation Protocol 2019.docx
Yes
No
Printable Only
Other-
Appendix B1 - Structured Reporting Template.docx
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
34
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
34
0
34
0
0
0
Annual IC Time Burden (Hours)
68
0
68
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Approval Memo
0497 OMB Approval Memo for Evaluating a Structured Reporting Template 2019.docx
06/26/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.