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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-Sample Recruitment Media Advertisement Language Yes Yes Fillable Fileable
Other-Youth Screener Yes Yes Fillable Fileable
Other-Adult Screener Yes Yes Fillable Fileable
Other-Programmed pre-screener Yes Yes Fillable Fileable
Other-Adult Consent Form Yes Yes Fillable Fileable
Other-Youth Assent Form Yes Yes Fillable Fileable
Other-Parental Permission Form Yes Yes Fillable Fileable
Other-Moderator Guide Yes Yes Fillable Fileable
Other-Recruitment Confirmation and Reminder E-mails Yes Yes Fillable Fileable
Other-Advance Letter Yes Yes Fillable Fileable
Other-Mailed Instructions Yes Yes Fillable Fileable
Other-Workbook Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

32 0
   
Individuals or Households
 
   100 %

  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 32 0 32 0 0 0
Annual IC Time Burden (Hours) 48 0 48 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo - Formative Research Study on Impact of Generic Substitutions 03/31/2022
List of Appendices (original submission and resubmission to complete study) 03/31/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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