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Risk Evaluation and Mitigation Strategy (REMS) Programs to Promote Appropriate Medication Use and Knowledge: Physician Experiences with REMS Programs (CDER) CDER
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Invitation Invitation Letter.docx Yes No Paper Only
Other-Consent Form Consent Form.docx Yes No Paper Only
Other-Survey - Ambrisentan Physician Survey - Ambrisentan.docx Yes Yes Fillable Fileable
Other-Survey - Bosentan Physician Survey - Bosentan.docx Yes Yes Fillable Fileable
Other-Survey - Clozapine Physician Survey - Clozapine.docx Yes Yes Fillable Fileable
Other-Survey - Isotretinoin Physician Survey - Isotretinoin.docx Yes Yes Fillable Fileable
Other-Survey - Lenalidomide-Pomalidomide-Thalidomide Physician Survey - Lenalidomide-Pomalidomide-Thalidomide.docx Yes Yes Fillable Fileable
Other-Survey - Sodium Oxybate Physician Survey - Sodium Oxybate.docx Yes Yes Fillable Fileable
Other-Reminder Letter Reminder Letter.docx Yes No Printable Only
Other-IRB Letter IRB Approval Letter 2021P002109.pdf Yes No Printable Only

Health Health Care Services

 

1,200 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 1,200 0 1,200 0 0 0
Annual IC Time Burden (Hours) 400 0 400 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Approval Memo 0847 OMB Approval Memo - REMS Physician Experience Surveys 2021.docx 11/23/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.