View Information Collection (IC)

View Information Collection (IC)

The Physician Pain Management Questionnaire 0920-21EU
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Physician Pain Management Questionnaire Attachment B - Survey Instrument (PPMQ).docx No   Paper Only

Health Public Health Monitoring

09-20-0167 Health Resources Utilization Statistics  49 FR 37697

1,000 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 1,000 0 1,000 0 0 0
Annual IC Time Burden (Hours) 250 0 250 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Part A SS-A Physician Pain Management Questionnaire - GenIC.docx 04/22/2021
Supporting Statement Part B SS-B Physician Pain Management Questionnaire - GenIC.docx 04/22/2021
Report on Cognitive Testing of the Survey Questions Attachment A - Final Cognitive Report -Draft (PPMQ).docx 04/22/2021
List of Consultants Attachment C - List of Consultants (PPMQ).docx 04/22/2021
Recruitment Materials Attachment D - Recruitment Materials (PPMQ) - inclgraphics_clean.docx 04/22/2021
Protocol submitted to the NCHS Ethics Review Board Attachment E - ERB Protocol (PPMQ).docx 04/22/2021
ERB Approval 0920-1030 ERB Approval.pdf 04/22/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.