Information Collection

Accuracy of Opioid Product Ascertainment (CDER)

IC 246077 under ICR 202205-0910-005 · OMB 0910-0847.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0847 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Questionnaire.docx	Other-Survey Instrument
Questionnaire.docx	Other-Survey Instrument
Consent Form.docx	Other-Consent Form
Consent Form.docx	Other-Consent Form
Interview Guide.docx	Other-Interview Guide
Interview Guide.docx	Other-Interview Guide
Protocol.pdf	Other-Study Design and Protocol
Protocol.pdf	Other-Study Design and Protocol
0847 OMB approval memo for Accuracy of Opioid Ascertainment 2021.docx OMB approval memo	IC Document
0847 OMB approval memo for Accuracy of Opioid Ascertainment 2021.docx OMB approval memo	IC Document

IC Title:

Accuracy of Opioid Product Ascertainment (CDER)

Agency IC Tracking Number:

CDER

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Instrument	Questionnaire.docx	Yes	Yes	Fillable Fileable
Other-Consent Form	Consent Form.docx	Yes	Yes	Fillable Fileable Signable
Other-Interview Guide	Interview Guide.docx	Yes	No	Printable Only
Other-Study Design and Protocol	Protocol.pdf	Yes	No	Printable Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 96

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	96	96
Annual IC Time Burden (Hours)	96	96
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB approval memo	0847 OMB approval memo for Accuracy of Opioid Ascertainment 2021.docx	04/06/2021

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