View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Strengthening Food and Drug Administration's (FDA) Ability to Communicate Health and Safety Information to Minority Populations About Pediatric COVID-19 Vaccines and Vaccine Boosters Utilizing Social	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-Email Invite			Invite Letter - Email.docx		Yes	Yes	Fillable Printable
Other-Information Sheet			Information Sheet.docx		Yes	Yes	Fillable Printable
Other-Survey			Pediatric COVID-19 Vaccines Survey.docx		Yes	Yes	Fillable Printable

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: 2,150	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	2,150	0	2,150	0	0	0
Annual IC Time Burden (Hours)	1,254	0	1,254	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Gen IC Memo (A)	0847 OMB Memo_Pediatric COVID-19 Vaccines and Vaccine Boosters 2023.docx	12/01/2023
Gen IC Memo (B)	Supporting Statement Part B_Pediatric COVID-19 Vaccines.docx	12/01/2023
IRB Letter	IRB Determination Letter.docx	12/01/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.