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Treatment Facility Staff Focus Groups
Evaluation of Medication- Assisted Treatment (MAT) for Opioid Use Disorders Study
OMB: 0920-1218
IC ID: 228981
OMB.report
HHS/CDC
OMB 0920-1218
ICR 202012-0920-014
IC 228981
( )
Documents and Forms
Document Name
Document Type
Attachment 8 Staff (Provider) Focus Groups 17ACE_MAT.docx
Other-Focus group guide
Attachment 8 Staff (Provider) Focus Groups 17ACE_MAT.docx
Other-Focus group guide
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Treatment Facility Staff Focus Groups
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
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
Other-Focus group guide
Attachment 8 Staff (Provider) Focus Groups 17ACE_MAT.docx
Yes
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
Epidemiologic Studies and Surveillance of Disease Problems
FR Citation:
57 FR 62812
Number of Respondents:
27
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
0
0
0
-27
0
27
Annual IC Time Burden (Hours)
0
0
0
-41
0
41
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.