30-day FRN

30-day Federal Register, Volume 81 Issue 246 (Thursday, December 22, 2016).htm

Surgeon General’s Pledge to Stem the Opioid Epidemic

30-day FRN

OMB: 0990-0448

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 Federal Register, Volume 81 Issue 246 (Thursday, December 22, 2016)
[Federal Register Volume 81, Number 246 (Thursday, December 22, 2016)]
[Notices]
[Pages 93944-93945]
From the Federal Register Online via the Government Publishing Office [http://www.gpo.gov/]
[FR Doc No: 2016-30787]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

[Document Identifier: 0990-0448-30D]


Agency Information Collection Activities; Submission to OMB for 
Review and Approval; Public Comment Request

AGENCY: Office of the Secretary, HHS.

ACTION: Notice.

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SUMMARY: In compliance with section 3507(a)(1)(D) of the Paperwork 
Reduction Act of 1995, the Office of the Secretary (OS), Department of 
Health and Human Services, has submitted an Information Collection 
Request (ICR), described below, to the Office of Management and Budget 
(OMB) for review and approval. The ICR is for renewal of the approved 
information collection assigned OMB control number 0990-0448, scheduled 
to expire on December 31, 2016. Comments submitted during the first 
public review of this ICR will be provided to OMB. OMB will accept 
further comments from the public on this ICR during the review and 
approval period.

DATES: Comments on the ICR must be received on or before January 23, 
2017.

ADDRESSES: Submit your comments to [email protected] or via 
facsimile to (202) 395-5806.

FOR FURTHER INFORMATION CONTACT: Information Collection Clearance 
staff, [email protected] or (202) 690-5683.

SUPPLEMENTARY INFORMATION: When submitting comments or requesting 
information, please include the document identifier 0990-0448-30D for 
reference.
    Information Collection Request Title: Surgeon General's Pledge to 
End the Opioid Crisis.
    OMB No.: 0990-0448.
    Abstract: This information collection is a critical component of a 
campaign to encourage health care prescribers (the user) to take action 
in their clinical practice to reduce the number of prescription drug 
overdoses and reduce the likelihood of prescription opioid drugs ending 
up in the possession of those who may abuse them. This information 
collection involves obtaining user contact information, medical 
profession category, medical specialty, and responses to short 
questions specifically designed to provide anecdotal information and 
contextualize the impact of the prescription opioid epidemic.
    Need and Proposed Use of the Information: This information 
collection serves to gather contact information from clinical 
prescribers and responses to two short answer questions describing how 
prescription opioid addiction has impacted their patients and/or their 
practice. Zip code, profession, and specialty will be collected and 
analyzed to present aggregate pledge data. Each element will also be 
utilized to send personalized campaign communication. Understanding the 
demographics of the medical practitioners will improve the efficacy of 
the campaign to end opioid

[[Page 93945]]

abuse by allowing for targeted communication.
    Likely Respondents: Medical Prescribers.
    The total annual burden hours estimated for this ICR are summarized 
in the table below.

                                    Total Estimated Annualized Burden--Hours
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                                                                                      Average
                                                     Number of       Number of      burden per     Total  burden
                    Form name                       respondents   responses  per   response  (in       hours
                                                                     respondent       hours)
----------------------------------------------------------------------------------------------------------------
Opioid Pledge Form..............................           5,000               1            5/60          416.67
                                                 ---------------------------------------------------------------
    Total.......................................           5,000               1            5/60          416.67
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Terry S. Clark,
Asst Information Collection Clearance Officer.
[FR Doc. 2016-30787 Filed 12-21-16; 8:45 am]
 BILLING CODE 4150-28-P


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