View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	[NCIPC] Opioid Rapid Response Patient Absorption Interviews	Agency IC Tracking Number:	0920-1050-23AY

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Interview Protocol for Opioid Rapid Response Patient Absorption Interviews	Att 1_CDC Opioid Scoping_Interview Protocol_Final_10.24.22.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 32	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 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	32	0	32	0	0	0
Annual IC Time Burden (Hours)	32	0	32	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Request Template (Project Description and Justification) for ORR Interviews	1050 Request Template Serrvice Delivery_CCP_v4.docx	11/14/2022
CDC Determination: Privacy Act does not apply	GenIC-PII-Privacy_Opioid Rapid Response Patient Absorption Scoping Project Stakeholder Interviews (003)_PIA.pdf	11/14/2022

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