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

Data To Support Social and Behavioral Research as Used by the Food and Drug Administration

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.