Primary Care Resident Physicians

THE NATIONAL INSTITUTE ON DRUG ABUSE'S (NIDA) STUDY OF SUBSTANCE ABUSE DOC.COM MODULE PROJECT

Documents and Forms

Document Name Document Type
Form 1 Primary Care Resident Physicians Form
1 Survey 1 for Residents (Pre-Survey) 7 - Attachment B2-3 Survey 1 for Residents (Pre Survey) 2-28-11 sh.docx Form
1 Residents Post Survey Attachment B2-4 Survey 2 for Residents (Post Survey) 3-30-11 sh[1].docx Form
Attachment A2 Email Invitation to Residents 3-30-11 sh.docx Attachment A2 Email Invitation to Residents 3-30-11 sh IC Document
Attachment A13 End of Study Email Residents in Control Group 4-7-11sh.docx Attachment A13 End of Study Email Residents in Control Group 4-7-11sh IC Document

Information Collection (IC) Details

IC Title:	Primary Care Resident Physicians	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Survey 1 for Residents (Pre-Survey)	7 - Attachment B2-3 Survey 1 for Residents (Pre Survey) 2-28-11 sh.docx		Yes	Yes	Fillable Printable
Form	1	Residents Post Survey	Attachment B2-4 Survey 2 for Residents (Post Survey) 3-30-11 sh[1].docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 308	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	616	616
Annual IC Time Burden (Hours)	105	105
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment A2 Email Invitation to Residents 3-30-11 sh	Attachment A2 Email Invitation to Residents 3-30-11 sh.docx	04/26/2011
Attachment A13 End of Study Email Residents in Control Group 4-7-11sh	Attachment A13 End of Study Email Residents in Control Group 4-7-11sh.docx	04/26/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.