View Information Collection (IC)
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 Yes Yes Fillable Fileable
Other-Telephone script Yes Yes Fillable Fileable
Form none 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 06/06/2019
Advance letter 06/06/2019
Consent 06/06/2019
Thank you letter 06/06/2019
Card sort 06/06/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.