View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Attitudes and Perceptions of People Living with Hepatitis B on Participation in Clinical Trials OC
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Consent form 0497 Attitudes and Perceptions Hep B Clinical Trials Consent Form FINAL 9-8-2022.docx Yes Yes Fillable Fileable Signable
Other-Eligibility Screening Questions 0497 Attitudes and Perceptions Hep B Clinical Trials Eligibility Sceening Questions FINAL 9-8-2022.docx Yes Yes Fillable Fileable
Other-Moderator's Guide 0497 Attitudes and Perceptions Hep B Clinical Trials Moderator Guide FINAL 8-22-2022.docx Yes Yes Fillable Fileable
Other-Recruitment flyer African 1 Generic African 1.png Yes No Printable Only
Other-Recruitment flyer African 2 Generic African 2.png Yes No Printable Only
Other-Recruitment flyer Asian 1 Generic Asian 1.png Yes No Printable Only
Other-Recruitment flyer Asian 2 Generic Asian 2.png Yes No Printable Only
Other-IRB HIRB approval Cohen HBF 8.22.2022.pdf Yes No Printable Only

Health Consumer Health and Safety

 

47 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 47 0 47 0 0 0
Annual IC Time Burden (Hours) 71 0 71 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Memo - Attitudes and Perceptions of People Living with Hepatitis B on Participation in Clinical Trials 0497 OMB Memo - Attitudes and Perceptions Hep B FINAL 9-13-2022.docx 09/13/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.