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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Preventable Harm from Outpatient Pediatric Medication Errors: Measure Development
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-Org Leader Interviews Recruitment Email
1. Organizational Leader Interviews Recruitment Email.pdf
Yes
Yes
Printable Only
Other-Idea Generation Recruitment Email
2. Idea Generation Recruitment Email.pdf
Yes
Yes
Printable Only
Other-Rating and Feasibility Recruitment Email
3. 0847 Rating and Feasibility Recruitment Email.pdf
Yes
Yes
Printable Only
Other-Org Leader Interview Guide
4. 0847 Organizational Leader Interview Guide.pdf
Yes
Yes
Fillable Fileable
Other-Idea Generation Questionnair
5. FDA idea generation questionnaire.pdf
Yes
Yes
Fillable Fileable
Other-Parent Interview Guide
6. 0847 Parent Interview Guide.pdf
Yes
Yes
Fillable Fileable
Other-Sorting Measures Type Idea Recruitment Email
7. 0847 Sorting Measure Type Ideas.pdf
Yes
Yes
Printable Only
Other-Screenshots-Sorting of Measure Type Ideas
8. 0847 Sorting of Measure Type Ideas Optimal Workshop Ltd Screen Shots.pdf
Yes
Yes
Printable Only
Other-Rating Sheet
9. 0847 Rating Sheet Importance and Feasibility.pdf
Yes
Yes
Fillable Fileable
Other-IRB Correspondence
10. 0847 IRB Correspondence.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:
225
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
225
0
225
0
0
0
Annual IC Time Burden (Hours)
240
0
240
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Preventable Harm from Outpatient Pediatric Medication Errors: Measure Development
0847 OMB Memo Preventable Harm 6-24-22.pdf
06/24/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.