Information Collection

Survey of Primary Care Clinicians about Opioid Use among Older Adults

IC 243373 under ICR 202107-0935-002 · OMB 0935-0258.

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

View Information Collection (IC)

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.