OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Prescribers

IC 219848 under ICR 201611-0990-001 · OMB 0990-0448.

Documents and Forms
Document Name
Document Type
Other-survey
Other-survey
Other-survey
Information Collection (IC) Details

View Information Collection (IC)

Prescribers
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey SSA_OSG_Opioid_Attachment 2_Final.docx Yes Yes Fillable Fileable
Other-survey SSA_OSG_Opioid_Attachment 1_Final.docx Yes No Fillable Fileable
Other-survey SSA_OSG_Opioid_Attachment 2_Final.docx Yes No Fillable Fileable

Health Health Care Services

 

18,000 0
   
Federal Government
 
   100 %

  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 18,000 0 8,000 0 0 10,000
Annual IC Time Burden (Hours) 1,200 0 533 0 0 667
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.