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Information Collection

Exploring Healthcare Providers' Practices, Perspectives, and Experiences Prescribing and Co-Prescribing Benzodiazepines and Opioid Analgesics

IC 252325 under ICR 202206-0910-015 · OMB 0910-0695.

Documents and Forms
Document Name
Document Type
Other-Focus Group Screener
Other-Focus Group Screener
Other-Interview Screener
Other-Interview Screener
Other-Recruitment Outreach
Other-Recruitment Outreach
Other-Focus Group Moderator Guide
Other-Focus Group Moderator Guide
Other-Individual Interview Guide
Other-Individual Interview Guide
Other-Focus Group Consent Form
Other-Focus Group Consent Form
Other-Individual Interview Consent F
Other-Individual Interview Consent F
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Exploring Healthcare Providers' Practices, Perspectives, and Experiences Prescribing and Co-Prescribing Benzodiazepines and Opioid Analgesics CDER
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Focus Group Screener Appendix A - Focus Group Screener.docx Yes No Printable Only
Other-Interview Screener Appendix B - Interview Screener.docx Yes No Printable Only
Other-Recruitment Outreach Appendix C - Recruitment Outreach for FGs and IDIs.docx Yes No Printable Only
Other-Focus Group Moderator Guide Appendix D - Focus Group Moderator Guide.docx Yes No Printable Only
Other-Individual Interview Guide Appendix E - Individual Interview Guide.docx Yes No Printable Only
Other-Focus Group Consent Form Appendix F - Focus Group Consent Form.docx Yes Yes Fillable Fileable
Other-Individual Interview Consent Form Appendix G - Individual Interview Consent Form.docx Yes Yes Fillable Fileable

Health Health Care Services

 

1,958 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 1,958 0 0 0 0 1,958
Annual IC Time Burden (Hours) 471 0 0 0 0 471
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB approval memo 0695 OMB approval memo - Exploring Healthcare Provider Practices 2022.docx 03/22/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.