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Quarterly Check-In Calls
Evaluating and Implementing the Six Building Blocks Team Approach to Improve Opioid Management in Primary Care
OMB: 0935-0248
IC ID: 237172
OMB.report
HHS/AHRQ
OMB 0935-0248
ICR 201907-0935-003
IC 237172
( )
Documents and Forms
Document Name
Document Type
4. 6BBs Quarterly Check in Call_Draft Agenda.docx
Other-agenda
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Quarterly Check-In Calls
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
Other-agenda
4. 6BBs Quarterly Check in Call_Draft Agenda.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
75
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
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
375
0
375
0
0
0
Annual IC Time Burden (Hours)
375
0
375
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.