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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Risk Evaluation and Mitigation Strategy Programs to Promote Appropriate Medication Use and Knowledge: Patient Experiences with REMS Programs (CDER)
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-Interview Guide
Patient Interview Guide.docx
Yes
No
Printable Only
Other-Consent Form
Consent Form.docx
Yes
No
Printable Only
Other-Recruitment Message-Email-All Drugs-Patient Only
Recruitment Messages - Email - All Drugs - Patient Only.docx
Yes
No
Printable Only
Other-Recruitment Message-Email-Patient or Caretaker
Recruitment Messages - Email - Patient Or Caretaker.docx
Yes
No
Printable Only
Other-Recruitment Message-Email Forward- Patient Only
Recruitment Messages - Email Forward - Patient Only.docx
Yes
No
Printable Only
Other-Recruitment Message-Email Forward-Patient or Caretaker
Recruitment Messages - Email Forward - Patient or Caretaker.docx
Yes
No
Printable Only
Other-Recruitment Message-Rally-All Drugs-Patient Only
Recruitment Messages - Rally - All Drugs - Patient Only.docx
Yes
No
Printable Only
Other-Recruitment Message-Rally-C and P - Patient Only
Recruitment Messages - Rally - C and P - Patient Only.docx
Yes
No
Printable Only
Other-Recruitment Research Match-All Drugs - Patient Only
Recruitment Research Match - All Drugs - Patient Only.docx
Yes
No
Printable Only
Other-Recruitment Research Match-Patient or Caretaker
Recruitment Research Match - Patient or Caretaker.docx
Yes
No
Printable Only
Other-Drug Specific Content
Drug Specific Content for Patient Interview Guide.docx
Yes
No
Printable Only
Other-IRB Letter
IRB Approval Letter.pdf
Yes
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:
160
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
160
0
160
0
0
0
Annual IC Time Burden (Hours)
160
0
160
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB approval memo
0847 OMB Approval Memo REMS Patient Interview 2021.docx
10/29/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.