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Survey to Determine Euthanasia Practices and Use of Pentobarbital Among Veterinarians Practicing in the United States (CVM)
Generic Clearance for the Collection of Qualitative Feedback on Food and Drug Administration Service Delivery
OMB: 0910-0697
IC ID: 245261
OMB.report
HHS/FDA
OMB 0910-0697
ICR 202206-0910-016
IC 245261
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0697 can be found here:
2023-11-28 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Use of Pentobarbital Among Veterinarians Survey.docx
Other-Survey Instrument
Use of Pentobarbital Among Veterinarians Survey.docx
Other-Survey Instrument
0697 OMB Approval Memo - Use of Pentobarbital Among Veterinarians 2020.docx
OMB Approval Memo
IC Document
0697 OMB Approval Memo - Use of Pentobarbital Among Veterinarians 2020.docx
OMB Approval Memo
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Survey to Determine Euthanasia Practices and Use of Pentobarbital Among Veterinarians Practicing in the United States (CVM)
Agency IC Tracking Number:
CVM
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Survey Instrument
Use of Pentobarbital Among Veterinarians Survey.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3,337
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
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
3,337
0
0
0
0
3,337
Annual IC Time Burden (Hours)
557
0
0
0
0
557
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Approval Memo
0697 OMB Approval Memo - Use of Pentobarbital Among Veterinarians 2020.docx
01/08/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.