Online Survey Questionnaire - Data To Support Communications To Educate Consumers On How To Safely Purchase Drugs Online

Data to Support Communications to Educate Consumers on How to Safely Purchase Drugs Online

Documents and Forms

Document Name Document Type
Attachments (1 - 6) - Data to Support Communications.docx Other-Various

Information Collection (IC) Details

IC Title:	Online Survey Questionnaire - Data To Support Communications To Educate Consumers On How To Safely Purchase Drugs Online	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Various			Attachments (1 - 6) - Data to Support Communications.docx		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	1,650	1,650
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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