OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Multistate Pharmacist Survey for Methodologic Advances in Evaluating Abuse Deterrent Opioid Analgesics (CDER)

IC 248160 under ICR 202205-0910-005 · OMB 0910-0847.

Documents and Forms
Document Name
Document Type
Other-Questionnaire
Other-Questionnaire
Other-Email Invitation and Cover Let
Other-Email Invitation and Cover Let
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Multistate Pharmacist Survey for Methodologic Advances in Evaluating Abuse Deterrent Opioid Analgesics (CDER) CDER
 
Unchanged
 
Voluntary
 

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

Health Consumer Health and Safety

 

2,500 0
   
Individuals or Households
 
   100 %

  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 2,500 0 0 0 0 2,500
Annual IC Time Burden (Hours) 250 0 0 0 0 250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.