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Federal forms, ICRs, and supporting documents

Information Collection

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

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

Documents and Forms
Document Name
Document Type
Other-Survey Instrument
Other-Consent Form
Other-Moderator Guide
IC Document
Information Collection (IC) Details

View Information Collection (IC)

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

Document Type Form No. Form Name Instrument File URL 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

Health Health Care Services

 

240 0
   
Individuals or Households
 
   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 240 0 240 0 0 0
Annual IC Time Burden (Hours) 256 0 256 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.