Information Collection Request

[NCIPC] Comprehensive Evaluation of the Implementation and Uptake of the CDC Clinical Practice Guideline for Prescribing Opioids for Pain

ICR 202412-0920-006 · OMB 0920-1459 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Caregiver Focus Groups Form and Instruction New Repair queued
Patient Focus Groups Form and Instruction New Repair queued
Medical Board Leaders Interview Form and Instruction New Missing upstream
Professional Association Leaders Interview Form and Instruction New Repair queued
Payer Interview Form and Instruction New Repair queued
Health System Leaders Interview Form and Instruction New Missing upstream
Dentist Interview Form and Instruction New Repair queued
Clinician Interview Form and Instruction New Repair queued
Clinician - Follow-Up Emails Form and Instruction New Repair queued
Clinician - Invitation Form and Instruction New Repair queued
Clinician - Clinician Survey Form and Instruction New Available
Attachment M_Privacy Impact Assessment.pdf Supplementary Document Uploaded 2024-12-12 Repair queued
Attachment L_IRB Approval Documentation.pdf Supplementary Document Uploaded 2024-12-12 Repair queued
Attachment A_AuthLeg.docx Supplementary Document Uploaded 2024-12-12 Repair queued
Attachment B_ 60 Dy FRN Evaluation CDC Clinical Guideline.pdf Supplementary Document Uploaded 2024-12-12 Repair queued
Evaluation CDC Clinical Guideline SSB.docx Supporting Statement B Uploaded 2024-12-12 Repair queued
Evaluation CDC Clinical Guideline SSA.docx Supporting Statement A Uploaded 2024-12-12 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
272991 Caregiver Focus Groups Form and Instruction New
272989 Patient Focus Groups Form and Instruction New
272988 Medical Board Leaders Interview Form and Instruction New
272987 Professional Association Leaders Interview Form and Instruction New
272986 Payer Interview Form and Instruction New
272985 Health System Leaders Interview Form and Instruction New
272984 Dentist Interview Form and Instruction New
272983 Clinician Interview Form and Instruction New
272982 Clinician - Follow-Up Emails Form and Instruction New
272981 Clinician - Invitation Form and Instruction New
272978 Clinician - Clinician Survey Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
2,311 0
310 0
0 0





table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,311 0 0 2,311 0 0
Annual Time Burden (Hours) 310 0 0 310 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No