Feedback on the use of the CDC Guideline for Prescribing Opioids for Chronic Pain.

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-20OP Feedback on the use of the CDC Guideline for Prescribing Opioids for Chronic Pain. Form and Instruction
0920-20OP Online Feedback Opioid Guides Att.1. Online Feedback OpioidGuides.docx Form and Instruction
Att. 1a. Online Feedback_Screen Capture.docx Online Feedback Screen Capture IC Document
1050 Request for Service Delivery_Updated_OpiodGuides_4.29.20.v2.docx Request for Service Delivery IC Document
Att. 2. Privacy Applicability.pdf Privacy IC Document

Information Collection (IC) Details

IC Title:	Feedback on the use of the CDC Guideline for Prescribing Opioids for Chronic Pain.	Agency IC Tracking Number:	0920-20OP

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-20OP	Online Feedback Opioid Guides	Att.1. Online Feedback OpioidGuides.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	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	100	100
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Online Feedback Screen Capture	Att. 1a. Online Feedback_Screen Capture.docx	05/22/2020
Request for Service Delivery	1050 Request for Service Delivery_Updated_OpiodGuides_4.29.20.v2.docx	05/22/2020
Privacy	Att. 2. Privacy Applicability.pdf	05/22/2020

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