Information Collection

NMURx Express Survey to Evaluate Stimulant Abuse in the United States: Trajectories from Medical Use to Non-Medical Use (CDER)

IC 248266 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⚠️ Notice: This information collection may be referencing outdated material.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-Questionnaire
Questionnaire.docx	Other-Questionnaire
Consent Form.docx	Other-Consent Form
Consent Form.docx	Other-Consent Form
Confidentiality Certificate.pdf	Other-Certification of Confidentiali
Confidentiality Certificate.pdf	Other-Certification of Confidentiali
0847 OMB Approval Memo - Evaluation of Stimulant Abuse in US 2021.docx OMB Approval Memo	IC Document
0847 OMB Approval Memo - Evaluation of Stimulant Abuse in US 2021.docx OMB Approval Memo	IC Document

IC Title:

NMURx Express Survey to Evaluate Stimulant Abuse in the United States: Trajectories from Medical Use to Non-Medical Use (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-Questionnaire	Questionnaire.docx	Yes	Yes	Fillable Fileable
Other-Consent Form	Consent Form.docx	Yes	Yes	Fillable Fileable
Other-Certification of Confidentiality	Confidentiality Certificate.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: 1,400

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	1,400	1,400
Annual IC Time Burden (Hours)	233	233
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 - Evaluation of Stimulant Abuse in US 2021.docx	07/08/2021

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