OMB control number

[NCIPC] Comprehensive Evaluation of the Implementation and Uptake of the CDC Clinical Practice Guideline for Prescribing Opioids for Pain

OMB 0920-1459 · HHS/CDC.

OMB 0920-1459

Data collection is designed to conduct a comprehensive evaluation of the dissemination, implementation, and outcomes of the CDC Clinical Practice Guideline for Prescribing Opioids for Pain – United States, 2022 (2022 CDC Clinical Practice Guideline). Resulting data will be used for purposes of evaluation and to ensure that Americans have access to safer, effective ways of managing their pain. This change request is submitted to comply with recent executive orders.The requested changes are necessary due to change in contracting partners.

The latest form for [NCIPC] Comprehensive Evaluation of the Implementation and Uptake of the CDC Clinical Practice Guideline for Prescribing Opioids for Pain expires 2028-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Caregiver Focus Group Guide Form and Instruction
Patient Focus Group Guide Form and Instruction
Medical Board Leaders Interview Guide Form and Instruction
Professional Association Leaders Interview Guide (document unavailable) Form and Instruction
Payer Interview Guide Form and Instruction
Health System Leaders Interview Guide Form and Instruction
Dentist Interview Guide Form and Instruction
Clinician Interview Guide Form and Instruction
Clinician Follow-Up Email (document unavailable) Form and Instruction
Clinician Invitation (document unavailable) Form and Instruction
Form 0920-26-0130 Clinican Survey Form and Instruction
Clinician Survey (document unavailable) Form and Instruction
OMB #0920-1459_Crosswalk Template Non substantial change.xlsx Supplementary Document
OMB #0920-1459_Change Request Memo.docx Supplementary Document
Change Request Memo - 0920-1459.docx Justification for No Material/Nonsubstantive Change
Attachment M_Privacy Impact Assessment.pdf Supplementary Document
Attachment L_IRB Approval Documentation.pdf Supplementary Document
Attachment A_AuthLeg.docx Supplementary Document
Attachment B_ 60 Dy FRN Evaluation CDC Clinical Guideline.pdf Supplementary Document
SSB 1459 Evaluation CDC Clinical Guideline - Clean.docx (document unavailable) Supporting Statement B
Evaluation CDC Clinical Guideline SSA_Feb 2026 clean.docx (document unavailable) Supporting Statement A
Caregiver Focus Groups Form and Instruction
Caregiver Focus Groups Form and Instruction
Patient Focus Groups Form and Instruction
Patient Focus Groups Form and Instruction
Medical Board Leaders Interview Form and Instruction
Medical Board Leaders Interview Form and Instruction
Professional Association Leaders Interview Form and Instruction
Professional Association Leaders Interview Form and Instruction
Payer Interview Form and Instruction
Payer Interview Form and Instruction
Health System Leaders Interview Form and Instruction
Health System Leaders Interview Form and Instruction
Dentist Interview Form and Instruction
Dentist Interview Form and Instruction
Clinician Interview Form and Instruction
Clinician Interview Form and Instruction
Clinician - Follow-Up Emails Form and Instruction
Clinician - Follow-Up Emails Form and Instruction
Clinician - Invitation Form and Instruction
Clinician - Invitation Form and Instruction
Clinician - Clinician Survey Form and Instruction
Clinician - Clinician Survey Form and Instruction
Clinician - Clinician Survey Form and Instruction

All Historical Document Collections

202603-0920-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2026-03-09
202508-0920-009	No material or nonsubstantive change to a currently approved collection	2025-08-27
202412-0920-006 Approved with change	New collection (Request for a new OMB Control Number)	2025-01-06

OMB Details

Clinician - Clinician Survey

Federal Enterprise Architecture: Health - Consumer Health and Safety

Form N/A	Clinician Survey	N/A	Form and instruction
Form 0920-26-0130	Clinican Survey	Fillable Fileable	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.