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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Attitudes and Perceptions of People Living with Hepatitis B on Participation in Clinical Trials
Agency IC Tracking Number:
OC
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-Advertisement Africa 1
Advertisement Africa 1 12-19-22.png
No
Printable Only
Other-Advertisement Africa 2
Advertisement Africa 2 12-19-22.png
No
Printable Only
Other-Advertisement Africa 3
Advertisement Africa 3 12-19-22.png
No
Printable Only
Other-Advertisement African T
Advertisement African T_Hep B 12-19-22.png
No
Printable Only
Other-Advertisement All Audiences 1
Advertisement All Audiences 1 IG 12-19-22.png
No
Printable Only
Other-Advertisement All Audiences 2
Advertisement All Audiences 2 IG 12-19-22.png
No
Printable Only
Other-Advertisement All Audiences 3
Advertisement All Audiences 3 IG_Hep B 12-19-22.png
No
Printable Only
Other-Advertisement All Audiences T
Advertisement All Audiences T_Hep B 12-19-22.png
No
Printable Only
Other-Advertisement Asian T
Advertisement Asian T_Hep B 12-19-22.png
No
Printable Only
Other-Advertisement Asian
Advertisement Asian_Hep B 12-19-22.png
No
Printable Only
Other-Advertisement Eastern Europe
Advertisement Eastern Europe_Hep B 12-19-22.png
No
Printable Only
Other-Advertisement India T
Advertisement India T_Hep B 12-19-22.png
No
Printable Only
Other-Advertisement India
Advertisement India_ Hep B 12-19-22.png
No
Printable Only
Other-Advertisement Middle East T
Advertisement Middle East T_Hep B 12-19-22.png
No
Printable Only
Other-Advertisement Middle East
Advertisement Middle East_Hep B 12-19-22.png
No
Printable Only
Other-Emal invitation
E-mail invitation_Hep B 12-19-22.docx
Yes
Yes
Fillable Fileable
Other-Online invitation
Online Survey Invite_Hep B 12-19-22.docx
Yes
Yes
Fillable Fileable
Other-Survey-Amharic
Amharic Clinical Trial Participation Survey_Hep B 12-19-222.docx
Yes
Yes
Fillable Fileable
Other-Survey-Chinese
Chinese Simplified Clinical Trial Participation Survey_Hep B 12-19-22.docx
Yes
Yes
Fillable Fileable
Other-Survey-English
English Clinical Trial Participation Survey_Hep B 12-19-22.docx
Yes
Yes
Fillable Fileable
Other-Survey-French
French Clinical Trial Participation Survey_Hep B 12-19-22.docx
Yes
Yes
Fillable Fileable
Other-Survey-Korean
Korean Clinical Trial Participation Survey_Hep B 12-19-22.docx
Yes
Yes
Fillable Fileable
Other-Survey-Marshallese
Marshallese Clinical Trial Participation Survey_Hep B 12-19-22.docx
Yes
Yes
Fillable Fileable
Other-Survey-Spanish
Spanish MU Clinical Trial Participation Survey_Hep B 12-19-22.docx
Yes
Yes
Fillable Fileable
Other-Survey-Tagalog
Tagalog Clinical Trial Participation Survey_Hep B 12-19-22.docx
Yes
Yes
Fillable Fileable
Other-Survey-Vietnamese
Vietnamese Clinical Trial Participation Survey_Hep B 12-19-22.docx
Yes
Yes
Fillable Fileable
Other-IRB
HIRB approval_Hep B 12-19-22.pdf
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:
2,000
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
2,000
0
2,000
0
0
0
Annual IC Time Burden (Hours)
1,000
0
1,000
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Memo / Abbreviated Supporting Statement Part A
OMB Memo_Hep B 12-19-22.docx
12/20/2022
Supporting Statement Part B
Supporting Statement Part B_Hep B 12-19-22.docx
12/20/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.