View Information Collection (IC)

View Information Collection (IC)

CQDER - Opioid Plus Card Sort 0920-0222-18ANT
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0222 Opioid Questionnaire - Card Sort Attach 1 - Opioid Qnne 050118.doc NA No   Paper Only
Form and Instruction 0920-0222 Telephone Screener Attach 3ab - Telephone Screener.docx NA No   Paper Only

Health Public Health Monitoring

09-20-0164 - Health and Demographic Surveys Conducted in Probability Samples of the U. S. Population  49 FR 37693

560 0
   
Individuals or Households
 
   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 560 0 560 0 0 0
Annual IC Time Burden (Hours) 230 0 230 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Study Advertisement / Flyer Attach 2 - Ad-flyer.doc 06/11/2018
Informed Consent Attach 4 - Informed Consent.doc 06/11/2018
Respondent Data Colletion Sheet Attach 5 - Resp Data Collect Sheet.doc 06/11/2018
Thank You Letter Attach 6 - Thank you letter 042018.doc 06/11/2018
Opioid Card Sort Attach 7 - Card Sort 060518.docx 06/11/2018
Opioid Plus Card Sort - 10 Day Letter Opioid Plus Card Sort 10-day 060818.docx 06/11/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.