Survey of Primary Care Clinicians about Opioid Use among Older Adults

Identifying and Testing Strategies for Management of Opioid Use and Misuse in Older Adults in Primary Care Practices

Documents and Forms

Document Name Document Type
Form 1 Survey of Primary Care Clinicians about Opioid Use among Older Adults Form and Instruction
1 Survey of Primary Care Clinicians about Opioid Use among Attachment A. Primary Care Clinician Survey 4.1.20.docx Form and Instruction
1 Survey of Primary Care Clinicians about Opioid Use among Attachment A. Primary Care Clinician Survey 4.1.20.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Survey of Primary Care Clinicians about Opioid Use among Older Adults	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	1	Survey of Primary Care Clinicians about Opioid Use among Older Adults	Attachment A. Primary Care Clinician Survey 4.1.20.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	375	375
Annual IC Cost Burden (Dollars)	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.