View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Formative Research for Spanish-Language Drug Overdose Messages
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a No   Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes No Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Instruction No   Fillable Fileable
Instruction Yes No Fillable Fileable

Health Public Health Monitoring

 

4,726 0
   
Individuals or Households
 
   90 %

  Requested 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 4,726 0 0 0 0 4,726
Annual IC Time Burden (Hours) 447 0 0 0 0 447
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA 03/16/2023
Zoom Poll Example 03/16/2023
Privacy Assessment 03/16/2023
Privacy Agreement 03/16/2023
Follow Up Message for Survey Collection 03/16/2023
Messages and Materials for Testing 03/16/2023
Recruitment Materials 03/16/2023
Research Determination 03/16/2023
GenIC Request Template 03/16/2023
Online Survey Screenshots Fentanyl and Naloxone 03/16/2023
Online Survey Screenshots Stigma and Polysubstance Use 03/16/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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