OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Understanding Health System Approaches to Chronic Pain Management

ICR 202201-0920-014 · OMB 0920-1374 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 0920 Member Checking (Validation) Session Interview Guide Form and Instruction New Repair queued
Form 0920- Case Studies Interview Guide Form and Instruction New Repair queued
Form 0920- Health System Leaders Interview Guide Form and Instruction New Repair queued
Form 0920- Patient Survey Form and Instruction New Missing upstream
Form 0920- Primary Care Clinician Survey Form and Instruction New Available
Att. L Supplemental Information..docx Supplementary Document Uploaded 2022-02-14 Missing upstream
Att. K Authorizing Legislation.docx Supplementary Document Uploaded 2022-02-14 Repair queued
SSB Chronic Pain 012722_Final.docx Supporting Statement B Uploaded 2022-02-14 Missing upstream
SSA Chronic Pain 012722_Final.docx Supporting Statement A Uploaded 2022-02-14 Missing upstream
Att. G Institutional Review Board (IRB) Documentation.pdf Supplementary Document Uploaded 2022-01-26 Repair queued
Att. H Privacy Impact Assessment.pdf Supplementary Document Uploaded 2022-01-26 Repair queued
Att. H1 Privacy Determination email.pdf Supplementary Document Uploaded 2022-01-26 Repair queued
Att. F Published 60-Day Federal Register Notice.pdf Supplementary Document Uploaded 2022-01-25 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
251286 Invitation/Follow up Email Instruction New
251285 Member Checking (Validation) Session Interview Guide Form and Instruction New
251284 Case Studies Interview Guide Form and Instruction New
251283 Health System Leaders Interview Guide Form and Instruction New
251282 Patient Survey Form and Instruction New
251281 Primary Care Clinician Survey Form and Instruction New
ICR Details
202201-0920-014
Received in OIRA
HHS/CDC 0920-21IE
Understanding Health System Approaches to Chronic Pain Management
New collection (Request for a new OMB Control Number)   No
Regular 02/17/2022
  Requested Previously Approved
36 Months From Approved
6,004 0
577 0
0 0
The goal of this formative research study is to obtain an enhanced understanding of the effects of policies and evidence-based guidelines related to chronic pain management and opioid prescribing, including access to medications for opioid use disorder (MOUD), for patients and clinicians in primary care settings among a diverse sample of health systems.
US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  86 FR 53313 09/27/2021
87 FR 8253 02/14/2022
No
  Total Request 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 6,004 0 0 6,004 0 0
Annual Time Burden (Hours) 577 0 0 577 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Request for a new OMB Control Number.
$811,216
No
    Yes
    Yes
No
No
No
No
Thelma Sims 4046394771
  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.
02/17/2022