Information Collection

Improving the Quality and Representativeness of the Treatment Center Program Data: Survey to Quantify the Magnitude of Misclassification of Opioid Product Identification (CDER)

IC 246919 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⚠️ Notice: This information collection may be referencing outdated material.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
0847 OMB Approval Memo - Treatment Center Program Study 2021.docx OMB Approval Memo	IC Document
0847 OMB Approval Memo - Treatment Center Program Study 2021.docx OMB Approval Memo	IC Document
Certificate of Confidentiality.pdf Certificate of Confidentiality	IC Document
Certificate of Confidentiality.pdf Certificate of Confidentiality	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Improving the Quality and Representativeness of the Treatment Center Program Data: Survey to Quantify the Magnitude of Misclassification of Opioid Product Identification (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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Instrument			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: 1,100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,100	1,100
Annual IC Time Burden (Hours)	275	275
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 - Treatment Center Program Study 2021.docx	05/10/2021
Certificate of Confidentiality	Certificate of Confidentiality.pdf	05/10/2021

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