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Federal forms, ICRs, and supporting documents

Information Collection

Rapid Message Testing with Consumer Panel - Opioid Analgesics Patient Counseling Guide

IC 229106 under ICR 201711-0910-001 · OMB 0910-0695.

Documents and Forms
Document Name
Document Type
Other-Survey
Other-Consent
Other-Patient Counseling Guide
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Rapid Message Testing with Consumer Panel - Opioid Analgesics Patient Counseling Guide OC
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Recruiting Screener.docx Yes Yes Fillable Fileable
Other-Consent Consent Form.docx Yes Yes Fillable Fileable
Other-Patient Counseling Guide Opioid Analgesic Patient Counseling Guide.pdf Yes Yes Paper Only

Health Consumer Health and Safety

 

265 0
   
Individuals or Households
 
   100 %

  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 265 0 265 0 0 0
Annual IC Time Burden (Hours) 24 0 24 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB approval memorandum 0695 OMB Approval Memo - Project 4 - Opoid Analgesics Patient Counseling Guide.docx 11/21/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.