View Information Collection (IC)

View Information Collection (IC)

Cognitive Testing of Physician Opioid Questions 0920-0222-19BGE
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none National Survey on Best Practices for Patient Pain Management and Opioid Use 0920-0222 Attach 1 Qnne Physician Opioid.docx Yes Yes Fillable Fileable
Other-Telephone script 0920-0222 Attach 4 Telephone Screener Physician Opioid.docx Yes Yes Fillable Fileable
Form none Respondent data collection sheet 0920-0222 Attach 6 Resp Data Physician Opioid.docx Yes Yes Fillable Fileable

Health Health Care Services

 

90 0
   
Individuals or Households
 
   100 %

  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 90 0 90 0 0 0
Annual IC Time Burden (Hours) 26 0 26 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Letter to Dr. Schwab 0920-0222 Physician Opioid 10day sk-6.6.19.docx 06/06/2019
Advance letter 0920-0222 Attach 3 Advance Letter Physician Opioid.docx 06/06/2019
Consent 0920-0222 Attach 5 Informed Consent Physician Opioid.docx 06/06/2019
Thank you letter 0920-0222 Attach 7 Thank You letter Physician Opioid.docx 06/06/2019
Card sort 0920-0222 Attach 2 Card Sort Physician Opioid-revised.docx 06/06/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.