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Federal forms, ICRs, and supporting documents

Information Collection

Studies to Enhance FDA Communications Addressing Opioids and Other Potentially Addictive Pain Medications

IC 221657 under ICR 201607-0910-010 · OMB 0910-0695.

Documents and Forms
Document Name
Document Type
Other-Physician Screener
Other-Gen Pop Screener
Other-Opioid User Screener
Other-Consent Forms
Other-Intro Discussion
Other-Friends Family Discussion
Other-General Population Group
Other-Opioid User Group
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Studies to Enhance FDA Communications Addressing Opioids and Other Potentially Addictive Pain Medications CDER
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Physician Screener IDIs_Physicians_Participant_Screener_ FINAL.docx No   Paper Only
Other-Gen Pop Screener GenPop-Fam_FGs_Participant_Screener_FINAL.docx No   Paper Only
Other-Opioid User Screener Opioid User FG Screener_FINAL.docx No   Paper Only
Other-Consent Forms Consent Forms_FGs and IDIs FINAL.docx No   Paper Only
Other-Intro Discussion Opioid Task 4-IDI Guide FINAL (2).docx No   Paper Only
Other-Friends Family Discussion Opioid FG- Friends-Family FINAL.docx No   Paper Only
Other-General Population Group Opioid FG- Gen Pop FINAL.docx No   Paper Only
Other-Opioid User Group Opioid FG- Opioid Users FINAL.docx No   Paper Only

Health Consumer Health and Safety

 

1,090 0
   
Individuals or Households
 
   0 %

  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 1,090 0 0 0 0 1,090
Annual IC Time Burden (Hours) 203 0 0 0 0 203
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Generic Allotment Request Memo OMB Request for Opioid Study May 2016.pdf 05/24/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.