Information Collection

HHS/ASPA Opioids Strategic Communication Plan and Messaging

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0459 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990-0459_Appendix E. Opioids Survey Instrument vs3_OMB_ICF.DOC	Other-survey
Appendix D_HHS Opioid Campaign - Adult Mod Guide_OMB_ICF.DOCX	Other-survey
Appendix A_Focus Group Screener_OMB.DOCX	Other-Screener
Revised_0990-0459_Generic Fast Track Memo Opioids Strategic Communicatio.._ (002).docx Mini SS_A	IC Document
Appendix C_Focus Group Confirmation Script.docx Script	IC Document
0990-0459_Appendix B_ Focus Group Consent Form OMB.DOCX Consent	IC Document

IC Title:

HHS/ASPA Opioids Strategic Communication Plan and Messaging

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	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

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,132

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,132	1,132
Annual IC Time Burden (Hours)	478	478
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.