Information Collection

Rapid Message Testing with Consumer Panel - Public Service Announcements About Safe Disposal of Opioids

IC 232370 under ICR 201712-0910-001 · OMB 0910-0695.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0695 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Opioid PSA Screener.DOCX	Other-Screener
Opioid Medicine Cabinet PSA English Interview Guide.docx	Other-English Interview Guide
PSAscript_MedicineCabinet_60sec_English 6.25 for CDER_with alternate slide 8.pd	Other-Script - English with Alternat
Nephew PSA Spanish Interview Guide.docx	Other-Spanish Interview Guide
PSAscript_Nephew_60sec_Spanish 6.25 FOR CDER_with alternate slide 5.pdf	Other-Script - Spanish with Alternat
PSAscript_Nephew_60sec_English 6.25 FOR CDER_with alternate slide 5.pdf	Other-Script - English with Alternat
0695 OMB approval memo - Safe Disposal of Opioids 2018.docx OMB approval memo	IC Document

IC Title:

Rapid Message Testing with Consumer Panel - Public Service Announcements About Safe Disposal of Opioids

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?	Electronic Capability
Other-Screener	Opioid PSA Screener.DOCX	No	Paper Only
Other-English Interview Guide	Opioid Medicine Cabinet PSA English Interview Guide.docx	No	Paper Only
Other-Script - English with Alternate Slide 8	PSAscript_MedicineCabinet_60sec_English 6.25 for CDER_with alternate slide 8.pd	No	Paper Only
Other-Spanish Interview Guide	Nephew PSA Spanish Interview Guide.docx	No	Paper Only
Other-Script - Spanish with Alternate Slide 5	PSAscript_Nephew_60sec_Spanish 6.25 FOR CDER_with alternate slide 5.pdf	No	Paper Only
Other-Script - English with Alternate Slide 5	PSAscript_Nephew_60sec_English 6.25 FOR CDER_with alternate slide 5.pdf	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

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	250	250
Annual IC Time Burden (Hours)	21	21
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB approval memo	0695 OMB approval memo - Safe Disposal of Opioids 2018.docx	07/25/2018

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