OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Injection Drug Use Surveillance Project

IC 242583 under ICR 202108-0920-005 · OMB 0920-1325.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Injection Drug Use Surveillance Project NEW
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction N/A Project Permission Form Att 6 Project Permission Form.docx Yes Yes Fillable Fileable
Form and Instruction N/A Eligibility screening form Approved_IDU_survey_wscreener_track changes_OMB 0920-1325_clean.docx Yes Yes Fillable Fileable
Form and Instruction n/a IDU Survey with proposed changes (August 2021) Approved_IDU_survey_track changes_OMB 0920-1325_final.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

28,499 0
   
Individuals or Households
 
   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 28,499 0 0 0 0 28,499
Annual IC Time Burden (Hours) 6,125 0 0 0 0 6,125
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Screenshots of IDU survey in REDCap Att 11 Screenshots of IDU survey in REDCap.pdf 07/06/2020
Crosswalk and Discussion of Proposed Changes (March 2021) Changes to IDU survey and justifications_OMB 0920-1325.xlsx 03/31/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.