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Federal forms, ICRs, and supporting documents

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.

Documents and Forms
Document Name
Document Type
Other-Questionnaire
Other-Questionnaire
Other-Consent Form
Other-Consent Form
Other-Certification of Confidentiali
Other-Certification of Confidentiali
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

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

Document Type Form No. Form Name Instrument File URL 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

Health Consumer Health and Safety

 

1,400 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 1,400 0 0 0 0 1,400
Annual IC Time Burden (Hours) 233 0 0 0 0 233
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.