Information Collection

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

IC 248684 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⚠️ Notice: This information collection may be referencing outdated material.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
Clean - UNC-UK 0847_Appendix 1 Email Invitation and Cover Letter MD_8-3-21 rev.docx	Other-Survey
Clean - UNC-UK 0847_Appendix 1 Email Invitation and Cover Letter MD_8-3-21 rev.docx	Other-Survey
UNC-UK 0847_Appendix 2 MD Pharmacist Survey_7-22-21.docx	Other-Survey
UNC-UK 0847_Appendix 2 MD Pharmacist Survey_7-22-21.docx	Other-Survey
clean_0847 OMB Approval Memo - MD Pharmacist Survey_7-26-2021.docx OMB Memo	IC Document
clean_0847 OMB Approval Memo - MD Pharmacist Survey_7-26-2021.docx OMB Memo	IC Document

IC Title:

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

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			Clean - UNC-UK 0847_Appendix 1 Email Invitation and Cover Letter MD_8-3-21 rev.docx		Yes	Yes	Fillable Fileable
Other-Survey			UNC-UK 0847_Appendix 2 MD Pharmacist Survey_7-22-21.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,200

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	1,200	1,200
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	clean_0847 OMB Approval Memo - MD Pharmacist Survey_7-26-2021.docx	08/03/2021

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