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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Assessing the Effectiveness of Text Enhancements to Prevent Drug Name Confusion Errors
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-Recruitment flyer
Recruitment_Flyer.docx
Yes
No
Printable Only
Other-Email recruitment
Telephone Recruitment Script.docx
Yes
Yes
Printable Only
Other-Consent
Verbal Consent Form.docx
Yes
Yes
Fillable Fileable Signable
Other-Drug name familiarity questions
Drug Name Familiarity Questions.docx
Yes
Yes
Fillable Fileable
Other-Debrief message
Debriefing Information.docx
Yes
No
Printable Only
Other-
Figures for Drug Selection.docx
Yes
Yes
Fillable Fileable
Other-
Demographic Questionnaire.docx
Yes
Yes
Fillable Fileable
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:
320
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
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
320
0
320
0
0
0
Annual IC Time Burden (Hours)
624
0
624
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
IRB Letter
IRB Letter 04.30.24.pdf
05/29/2024
OMB Memo
0847 OMB Memo Text Enhancement Survey 2025.docx
03/11/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.