OMB.report

Federal forms, ICRs, and supporting documents

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HHS/ASPA Opioids Strategic Communication Plan and Messaging

IC 231137 under ICR 201703-0990-003 · OMB 0990-0459.

Documents and Forms
Document Name
Document Type
Other-survey
Other-survey
Other-Screener
IC Document
IC Document
IC Document
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HHS/ASPA Opioids Strategic Communication Plan and Messaging
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey 0990-0459_Appendix E. Opioids Survey Instrument vs3_OMB_ICF.DOC Yes Yes Fillable Fileable
Other-survey Appendix D_HHS Opioid Campaign - Adult Mod Guide_OMB_ICF.DOCX No   Paper Only
Other-Screener Appendix A_Focus Group Screener_OMB.DOCX No   Paper Only

Health Health Care Services

 

1,132 0
   
Individuals or Households
 
   0 %

  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 1,132 0 1,132 0 0 0
Annual IC Time Burden (Hours) 478 0 478 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Mini SS_A Revised_0990-0459_Generic Fast Track Memo Opioids Strategic Communicatio.._ (002).docx 04/19/2018
Script Appendix C_Focus Group Confirmation Script.docx 04/19/2018
Consent 0990-0459_Appendix B_ Focus Group Consent Form OMB.DOCX 04/30/2018
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