Information Collection

Rapid Message Testing with Consumer Panel - Storyboards About Safe Disposal of Opioids and Other Medicines

IC 241315 under ICR 201712-0910-001 · OMB 0910-0695.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Participant Screener.docx Other-Screener
What It Spells Moderator's Guide - English.docx Other-Moderator Guide - English
English - Web Storyboard.pdf Other-English - Web Storyboard
English PSA Storyboard.pdf Other-English - PSA Storyboard
What It Spells Moderator's Guide - Spanish.docx Other-Moderator Guide - Spanish
Spanish - Web Storyboard.pdf Other-Spanish - Web Storyboard
Spanish - PSA Storyboard.pdf Other-Spanish - PSA Storyboard
0695 OMB Approval Memo - Safe Disposal of Opioids 2020.docx
OMB Approval Memo
IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screener Participant Screener.docx Yes Yes Fillable Fileable
Other-Moderator Guide - English What It Spells Moderator's Guide - English.docx Yes No Printable Only
Other-English - Web Storyboard English - Web Storyboard.pdf Yes No Printable Only
Other-English - PSA Storyboard English PSA Storyboard.pdf Yes No Printable Only
Other-Moderator Guide - Spanish What It Spells Moderator's Guide - Spanish.docx Yes No Printable Only
Other-Spanish - Web Storyboard Spanish - Web Storyboard.pdf Yes No Printable Only
Other-Spanish - PSA Storyboard Spanish - PSA Storyboard.pdf Yes No Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 96 0 96 0 0 0
Annual IC Time Burden (Hours) 17 0 17 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 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 2020.docx 04/10/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.