THE NATIONAL INSTITUTE ON DRUG ABUSE'S (NIDA) STUDY OF SUBSTANCE ABUSE DOC.COM MODULE PROJECT

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 2 Primary Care Resident Physicians	Form	New	Available
Form 1 Medical Students	Form	New	Available
Doc com_Supporting Statement B_Revised 7 8 11.doc	Supporting Statement B	Uploaded 2011-07-15	Available
23 - NIDA OMB B13 DUCOM cover letter for medical student survey 2-28-11 sh.doc	Supplementary Document	Uploaded 2011-04-26	Available
22 - NIDA OMB B12 Penn Med cover letter for medical student survey 2-28-11 sh.doc	Supplementary Document	Uploaded 2011-04-26	Available
21 - NIDA OMB B11 DUCOM script for survey administration 2-28-11 sh.doc	Supplementary Document	Uploaded 2011-04-26	Available
20 - NIDA OMB B10 Penn Med Script for Survey Administration 2-28-11 sh.doc	Supplementary Document	Uploaded 2011-04-26	Available
19 - NIDA OMB B9 Pilot Test Results of Survey by Residents 2-28-11 sh.doc	Supplementary Document	Uploaded 2011-04-26	Available
18 - NIDA OMB B8 Pilot Test Results of Survey by Medical Students 2-28-11 sh.doc	Supplementary Document	Uploaded 2011-04-26	Available
17 - NIDA OMB B7 Email Notification Re Post Survey 2-28-11 sh.doc	Supplementary Document	Uploaded 2011-04-26	Available
12 - NIDA OMB B4-a Email Invitation to Residents 2-28-11 sh.doc	Supplementary Document	Uploaded 2011-04-26	Available
13 - NIDA OMB B4-b Reminder Email Invitation to Residents 2-28-11 sh.docx	Supplementary Document	Uploaded 2011-04-26	Available
14 - NIDA OMB B4-c Second Reminder Email Invitation to Residents 2-28-11 sh.docx	Supplementary Document	Uploaded 2011-04-26	Available
16 - NIDA OMB B6 Email Notification Re Module 2-28-11 sh.docx	Supplementary Document	Uploaded 2011-04-26	Available
Attachment A11 DUCOM Letter Type of Consent 4-7-11sh.pdf	Supplementary Document	Uploaded 2011-04-26	Available
Attachment A10 Penn Letter Type of Consent 4-7-11sh.pdf	Supplementary Document	Uploaded 2011-04-26	Available
Attachment A9 - Signed IRB Approval.pdf	Supplementary Document	Uploaded 2011-04-26	Available
Attachment A8 Penn and DUCOM IRB Letter 4-7-11.pdf	Supplementary Document	Uploaded 2011-04-26	Available
Attachment A6 Email Notification Re Post Survey 4-5-11 sh.docx	Supplementary Document	Uploaded 2011-04-26	Repair queued
Attachment A5 Email Notification Re Pre-Survey 4-5-11 sh.docx	Supplementary Document	Uploaded 2011-04-26	Available
Attachment A3 Penn Med Script for Survey Administration 3-30-11 sh (2).docx	Supplementary Document	Uploaded 2011-04-26	Available
Attachment A4 DUCOM script for survey administration 3-30-11 sh (2) (2).docx	Supplementary Document	Uploaded 2011-04-26	Available
24 - NIDA OMB B5-a Drexel IRB Approval Letter 12-8-10 kd.doc	Supplementary Document	Uploaded 2011-04-26	Available
25 - NIDA OMB B5-b Penn IRB Approval Letter 12-8-10 kd.doc	Supplementary Document	Uploaded 2011-04-26	Available
Attachment B4 Pilot Test Results of Survey by Residents 3-30-11 sh (04082011).docx	Supplementary Document	Uploaded 2011-04-21	Available
Attachment B3 Pilot Test Results of Survey by Medical Students 3-30-11 sh (04082011).doc	Supplementary Document	Uploaded 2011-04-21	Available
Attachment B2-4 Survey 2 for Residents (Post Survey) 3-30-11 sh.docx	Supplementary Document	Uploaded 2011-04-21	Repair queued
Attachment B2-2 Survey 2 for Medical Students (Post Survey 1 or 2) 3-30-11 sh.doc	Supplementary Document	Uploaded 2011-04-21	Available
Attachment B2-1 Survey 1 for Medical Students (Pre Survey 1 or 2) 3-30-11 sh.doc	Supplementary Document	Uploaded 2011-04-21	Available
Attachment B1-1 Target Populations, Sampling Universes, Estimated Sample Sizes, and Sampling Methods 3-30-11 sh.doc	Supplementary Document	Uploaded 2011-04-21	Repair queued
Attachment A13 End of Study Email Residents in Control Group 4-7-11sh.docx	Supplementary Document	Uploaded 2011-04-26	Available
Attachment A2 Email Invitation to Residents 3-30-11 sh.docx	Supplementary Document	Uploaded 2011-04-26	Available
Attachment A12 End of Study Email Medical Students in Control Group 4-7-11sh.docx	Supplementary Document	Uploaded 2011-04-26	Available
A1 Email Invitation to Medical Students 3-30-11 - OK.docx	Supplementary Document	Uploaded 2011-07-15	Available
Doc com_Supporting Statement A_Revised 7 8 11.docx	Supporting Statement A	Uploaded 2011-07-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
197527	Primary Care Resident Physicians	Form	New
197526	Medical Students	Form	New

ICR Details

OMB Control No: 0925-0635	ICR Reference No: 201104-0925-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: THE NATIONAL INSTITUTE ON DRUG ABUSE'S (NIDA) STUDY OF SUBSTANCE ABUSE DOC.COM MODULE PROJECT
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/24/2011
	Date Received in OIRA: 04/28/2011
Terms of Clearance: This collection is approved with the understanding that all recruitment materials for medical students will be updated to reflect that there will be no incentive offered for participation in the study.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2013	06/30/2013
Responses	2,216	0	0
Time Burden (Hours)	377	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This is a request for a two-year generic clearance to a conduct research study to assess the efficacy of a specific interactive web-based teaching module in the field of professional education of healthcare providers. This online module was developed as a work product by the same team of investigators from Drexel University College of Medicine (DUCOM) and University of Pennsylvania School of Medicine (Penn Med) under a contract as part of NIDA's Center of Excellence (CoE) for Physician Information. This project will assess efficacy of the NIDA CoE online teaching module with educational interventions in enhancing: 1) the knowledge of healthcare professionals about substance use disorders; 2) attitudes of healthcare professionals toward patients with these disorders and 3) communication skills in providing assessment and referral to treatment for patients who abuse substances. The overall goal of this project is to assess the efficacy of an educational intervention, which should result in an increase in the involvement of primary care providers in the screening, managing and, when appropriate, referring patients with substance use disorders. This effort is made according to Executive Order 12862, which directs Federal agencies that provide significant services directly to the public to survey customers to determine the kind and quality of services they want and their level of satisfaction with existing services.

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Authorizing Statute(s): US Code: 42 USC 285 Name of Law: NIDA's purpose to conduct and support research on drug abuse and addiction
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 79008	12/17/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 22406	04/21/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Medical Students	2, 1	Medical Students Pre-Survey ,   Survey 2 for Medical Students (Post-Survey 1 or 2)
Primary Care Resident Physicians	1, 2	Residents Post Survey ,   Survey 1 for Residents (Pre-Survey)

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	2,216	0	0	2,216	0	0
Annual Time Burden (Hours)	377	0	0	377	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new ICR.

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Annual Cost to Federal Government: $503,375

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/28/2011

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