Information Collection

Studies to Enhance FDA Communications Addressing Opioids and Other Potentially Addictive Pain Medications

IC 221657 under ICR 201601-0910-001 · OMB 0910-0695.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
IDIs_Physicians_Participant_Screener_ FINAL.docx Other-Physician Screener
GenPop-Fam_FGs_Participant_Screener_FINAL.docx Other-Gen Pop Screener
Opioid User FG Screener_FINAL.docx Other-Opioid User Screener
Consent Forms_FGs and IDIs FINAL.docx Other-Consent Forms
Opioid Task 4-IDI Guide FINAL (2).docx Other-Intro Discussion
Opioid FG- Friends-Family FINAL.docx Other-Friends Family Discussion
Opioid FG- Gen Pop FINAL.docx Other-General Population Group
Opioid FG- Opioid Users FINAL.docx Other-Opioid User Group
OMB Request for Opioid Study May 2016.pdf
OMB Generic Allotment Request Memo
IC Document

Information Collection (IC) Details

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layout table

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-Physician Screener IDIs_Physicians_Participant_Screener_ FINAL.docx No   Paper Only
Other-Gen Pop Screener GenPop-Fam_FGs_Participant_Screener_FINAL.docx No   Paper Only
Other-Opioid User Screener Opioid User FG Screener_FINAL.docx No   Paper Only
Other-Consent Forms Consent Forms_FGs and IDIs FINAL.docx No   Paper Only
Other-Intro Discussion Opioid Task 4-IDI Guide FINAL (2).docx No   Paper Only
Other-Friends Family Discussion Opioid FG- Friends-Family FINAL.docx No   Paper Only
Other-General Population Group Opioid FG- Gen Pop FINAL.docx No   Paper Only
Other-Opioid User Group Opioid FG- Opioid Users FINAL.docx No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved 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 1,090 0 1,090 0 0 0
Annual IC Time Burden (Hours) 203 0 203 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
OMB Generic Allotment Request Memo OMB Request for Opioid Study May 2016.pdf 05/24/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.