Attachment E: Learning Collaborative Self-Assessment

Identifying and Testing Strategies for Management of Opioid Use and Misuse in Older Adults in Primary Care Practices

OMB: 0935-0258

IC ID: 243379

Information Collection (IC) Details

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Attachment E: Learning Collaborative Self-Assessment
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 5 Attachment E: Learning Collaborative Self-Assessment Attachment E. Self-Assessment Questionnaire.docx No   Paper Only

Health Health Care Services

 

24 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  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 24 0 24 0 0 0
Annual IC Time Burden (Hours) 6 0 6 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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