Adults - Dosing/Driving/Waiting/ - (Intervention)

Quantification of Behavioral and Physiological Effects of Drugs Using a Mobile Scalable Device

Documents and Forms

Document Name Document Type
Form 11 Adults - Dosing/Driving/Waiting/ - (Intervention) Form and Instruction
11 Informed Consent- Adderall Attachment 10(Informed Consent In-person Screening- Adderall).pdf Form and Instruction
12 Informed Consent - Xanax Attachment 11(Informed Consent In-person Screening -Xanax) .pdf Form and Instruction
13 Informed Consent - Cannabis Attachment 12(Informed Consent In-person Screening -Cannabis).pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Adults - Dosing/Driving/Waiting/ - (Intervention)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	11	Informed Consent- Adderall	Attachment 10(Informed Consent In-person Screening- Adderall).pdf	Yes	Yes	Fillable Fileable
Form and Instruction	12	Informed Consent - Xanax	Attachment 11(Informed Consent In-person Screening -Xanax) .pdf	Yes	Yes	Fillable Fileable
Form and Instruction	13	Informed Consent - Cannabis	Attachment 12(Informed Consent In-person Screening -Cannabis).pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: SORN	FR Citation: 7 FR 60741

Number of Respondents: 72	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	144	144
Annual IC Time Burden (Hours)	576	576
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.