Information Collection

Health Care Providers' Understanding of Opioid Analgesic Abuse-Deterrent Formulations

IC 234959 under ICR 201709-0910-002 · OMB 0910-0847.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0847 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A - Questionnaire.docx	Other-Survey Instrument
Attachment B - Consent Form.docx	Other-Consent Form
Attachment C - Moderator Guide.docx	Other-Moderator Guide
OMB approval memo for HCP Understanding of Opioid Analgesic Abuse Deterrent Formulations 2019.doc OMB approval memo	IC Document

IC Title:

Health Care Providers' Understanding of Opioid Analgesic Abuse-Deterrent Formulations

Agency IC Tracking Number:

CDER

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 Instrument	Attachment A - Questionnaire.docx	Yes	Yes	Fillable Fileable
Other-Consent Form	Attachment B - Consent Form.docx	Yes	Yes	Fillable Fileable
Other-Moderator Guide	Attachment C - Moderator Guide.docx	Yes	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 240

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	240	240
Annual IC Time Burden (Hours)	256	256
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB approval memo	OMB approval memo for HCP Understanding of Opioid Analgesic Abuse Deterrent Formulations 2019.doc	02/14/2019

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