OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Exploring Barriers to Buprenorphine Access for Opioid Use Disorder

IC 269788 under ICR 202403-0910-002 · OMB 0910-0695.

Documents and Forms
Document Name
Document Type
Other-Recruitment
Other-Questionnaire
Other-Screener
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Exploring Barriers to Buprenorphine Access for Opioid Use Disorder CDER
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Recruitment Attachment A_Recruitment_Buprenorphine_August 1 2024.docx Yes Yes Fillable Printable
Other-Questionnaire Attachment C_Questionnaire_Buprenorphine_August 1 2024.docx Yes Yes Fillable Printable
Other-Screener Attachment B_Screener_Buprenorphine.docx Yes No Fillable Printable

Health Consumer Health and Safety

 

3,000 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 3,000 0 3,000 0 0 0
Annual IC Time Burden (Hours) 348 0 348 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
IRB Letter Attachment D-IRB Letter_July_2024.pdf 08/01/2024
OMB memo 0695 OMB Memo-Buprenorphine Barriers.docx 03/26/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.