OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Practice Patterns related to Opioid Use during Pregnancy and Lactation

ICR 201609-0920-001 · OMB 0920-1168 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
ACOG - Short Introduction and Survey Form and Instruction New Available
ACOG Full Online/Paper Survey Form and Instruction New Available
SS Part A ACOG survey 08MAR2017.docx Supporting Statement A Uploaded 2017-03-08 Available
SS Part B ACOG survey 08MAR2017.docx Supporting Statement B Uploaded 2017-03-08 Available
10 Att5_Email Reminders.docx Supplementary Document Uploaded 2016-09-06 Available
7 Att3b_Introductory Cover Letter-Paper.docx Supplementary Document Uploaded 2016-09-06 Repair queued
6 Att3a_ Introductory Cover Letter-Online.docx Supplementary Document Uploaded 2016-09-06 Available
15 ACOG IRB determination.pdf Supplementary Document Uploaded 2016-09-06 Available
5 Att2b Public Comment Received.docx Supplementary Document Uploaded 2016-09-06 Repair queued
4 Att2a 60-day FRN.PDF Supplementary Document Uploaded 2016-09-06 Available
3 Att1_Section 301 of Public Health Service Act (42 U.S.C. 241).docx Supplementary Document Uploaded 2016-09-06 Available
IC Document Collections
IC IDCollectionTypeStatusForm
223395 ACOG - Short Introduction and Survey Form and Instruction New
223394 ACOG Full Online/Paper Survey Form and Instruction New
ICR Details
0920-1168 201609-0920-001
Historical Active
HHS/CDC 16XD
Practice Patterns related to Opioid Use during Pregnancy and Lactation
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 03/09/2017
Retrieve Notice of Action (NOA) 09/09/2016
  Inventory as of this Action Requested Previously Approved
03/31/2018 12 Months From Approved
600 0 0
120 0 0
0 0 0
In collaboration with the American College of Obstetricians and Gynecologists, CDC plans to conduct a survey to understand Obstetricians and Gynecologists' knowledge, attitudes, and practices regarding maternal opioid use, which has increased over the last decade and leads to neonatal abstinence syndrome. Information will inform public health prevention efforts.
US Code: 42 USC 241 Name of Law: U.S. Public Health Service Act
  
None
Not associated with rulemaking
  81 FR 18630 03/31/2016
81 FR 61218 09/06/2016
Yes
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 600 0 0 600 0 0
Annual Time Burden (Hours) 120 0 0 120 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
0920-16XD is a New ICR submitted for OMB approval.
$51,105
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Jeffrey Zirger 404 639-7118 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/09/2016