View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Cannabidiol (CBD) Interviews (Formative Research)	Agency IC Tracking Number:	CFSAN

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-Consent form			Appendix IV_CBD Consent Form final 12-23-22.docx		Yes	No	Printable Only
Other-Screener			Appendix I_CBD Screener final 12-23-22.docx		Yes	Yes	Fillable Fileable
Other-Survey-humans			Appendix II_CBD Interviewer Guide_Humans fnal 12-23-22.docx		Yes	Yes	Fillable Fileable
Other-Survey-pets			Appendix III_CBD Interviewer Guide_Pets final 12-23-22.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: 100	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	100	0	100	0	0	0
Annual IC Time Burden (Hours)	81	0	81	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	0891 OMB Memo CBD Interviews final 12-23-22.docx	12/23/2022

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