Online Skills Training for PCPs on Substance Abuse (NIDA)

Forms and Documents

Document Name	Status
Form 1 Physicians Form and Instruction	Modified
N44DA-9-2214-SS-B_March-31-2011.doc Supporting Statement B	2011-04-04
N44DA-9-2214-Attachment2IRBApproval_July2010.doc Supplementary Document	2011-02-23
N44DA-9-2214-Attachment1References_July2010.doc Supplementary Document	2011-02-23
N44DA-9-2214-Attachment4InitialContact_July2010.doc Supplementary Document	2011-02-23
N44DA-9-2214-SS-A_August2010 Rvsd 10-08 for 30-day note.docx Supporting Statement A	2011-02-23

IC Document Collections

IC ID	Document Title	Status
196028	Physicians Form and Instruction	Modified

ICR Details

OMB Control No: 0925-0632	ICR Reference No: 201102-0925-010
Status: Historical Active	Previous ICR Reference No: 201101-0925-008
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Online Skills Training for PCPs on Substance Abuse (NIDA)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/08/2011
	Date Received in OIRA: 02/24/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2014	36 Months From Approved
Responses	240	0	0
Time Burden (Hours)	180	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The purpose of the data collection is to evaluate an educational program developed with funding from NIDA through a Small Business Innovation Research (SBIR) contract. This project is developing online training and education materials for primary care physicians (PCPs). "Primary care physician" is defined as a physician who specializes in family medicine, internal medicine, pediatrics in primary care, obstetrics or gynecology in primary care, and emergency medicine for acute primary care problems. The educational goal of these materials is to teach PCPs about screening, brief intervention, and treatment to referral (SBIRT) for substance abuse. The project will create a multimedia, interactive program with didactic online learning and skills training via video and Internet based chat experiences mimicking the "Objective Structured Clinical Examination" (OSCE) interactions familiar to PCPs from their professional training.

---

Authorizing Statute(s): US Code: 42 USC 285o Name of Law: Public Health and Welfare: Authorization of the National Institute on Drug Abuse
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 44265	07/28/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 1622	01/11/2011
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Physicians	1, 2, 1, 2	Screener ,   Assessment

---

ICR Summary of Burden

	Total Approved	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	240	0	0	240	0	0
Annual Time Burden (Hours)	180	0	0	180	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new ICR.

---

Annual Cost to Federal Government: $351,844

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/24/2011

---