View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Multistate Pharmacist Survey for Methodologic Advances in Evaluating Abuse Deterrent Opioid Analgesics (CDER)	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-Questionnaire			Appendix 1 - Questionnaire.docx		Yes	Yes	Fillable Fileable
Other-Email Invitation and Cover Letter			Appendix 2 - Email Invitation and Cover Letter.docx		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: 2,500	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	2,500	0	2,500	0	0	0
Annual IC Time Burden (Hours)	250	0	250	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Approval Memo	0847 OMB Approval Memo - Multistate Pharmacist Survey 2021.docx	07/01/2021

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