Information Collection

Consumption Questions

IC 181681 under ICR 200708-0930-005 · OMB 0930-0261.

Documents and Forms

Document Name Document Type
Form Survey Questions Consumption Questions Form and Instruction
Survey Questions Survey Questions Cog Int Attachments.zip Form and Instruction
MJ Consumption-SS-8-3-07.doc Supporting Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Consumption Questions	Agency IC Tracking Number:

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
Form and Instruction	Survey Questions	Survey Questions	Cog Int Attachments.zip		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,354	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	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	7,354	0	0	0	0	0
Annual IC Time Burden (Hours)	4,854	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	MJ Consumption-SS-8-3-07.doc	08/13/2007

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