OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

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

IC 228656 under ICR 201711-0910-001 · OMB 0910-0695.

Documents and Forms
Document Name
Document Type
Other-Consumer survey
Other-Email invitation for Consumers
Other-Intro for Consumers
Other-Consent Form for Consumers
Other-HCP Survey
Other-Email invitation for HCPs
Other-Intro for HCPs
Other-Consent Form for HCPs
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-Consumer survey Consumer opioid survey.doc Yes Yes Fillable Fileable
Other-Email invitation for Consumers Email invitations for Consumers.docx Yes Yes Paper Only
Other-Intro for Consumers Intro and Screening for Consumers.docx Yes Yes Paper Only
Other-Consent Form for Consumers Informed consent form for Consumers.docx Yes Yes Fillable Fileable
Other-HCP Survey HCP opioid survey.docx Yes Yes Fillable Fileable
Other-Email invitation for HCPs Email invitations for HCPs.docx Yes Yes Paper Only
Other-Intro for HCPs Intro and Screening for HCPs.docx Yes Yes Paper Only
Other-Consent Form for HCPs Informed consent form for HCPs.docx Yes Yes Fillable Fileable

Health Health Care Services

 

1,365 0
   
Individuals or Households
 
   100 %

  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 1,365 0 0 0 0 1,365
Annual IC Time Burden (Hours) 744 0 0 0 0 744
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB approval memo 0695 OMB Approval Memo Opioid and Other Meds Study.doc 10/20/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.