Information Collection

Exploring Barriers to Buprenorphine Access for Opioid Use Disorder

IC 269788 under ICR 202403-0910-002 · OMB 0910-0695.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A_Recruitment_Buprenorphine_August 1 2024.docx	Other-Recruitment
Attachment C_Questionnaire_Buprenorphine_August 1 2024.docx	Other-Questionnaire
Attachment B_Screener_Buprenorphine.docx	Other-Screener
Attachment D-IRB Letter_July_2024.pdf IRB Letter	IC Document
0695 OMB Memo-Buprenorphine Barriers.docx OMB memo	IC Document

IC Title:

Agency IC Tracking Number:

CDER

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Recruitment	Attachment A_Recruitment_Buprenorphine_August 1 2024.docx	Yes	Yes	Fillable Printable
Other-Questionnaire	Attachment C_Questionnaire_Buprenorphine_August 1 2024.docx	Yes	Yes	Fillable Printable
Other-Screener	Attachment B_Screener_Buprenorphine.docx	Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	348	348
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
IRB Letter	Attachment D-IRB Letter_July_2024.pdf	08/01/2024
OMB memo	0695 OMB Memo-Buprenorphine Barriers.docx	03/26/2025

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