Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
ED Discharge Overdose data (annual reporting) Modified 35 88 3136 Form and Instruction 0920-1268 ED Annual Discharge Overdose Data Form
ED Discharge Overdose data (quarterly reporting) Removed 0 0 0 Form and Instruction None ED Discharge Overdose Data Form
Rapid ED Overdose Data - Case-level Data Shared through NSSP Biosense Modified 420 210 6273 Form and Instruction None Rapid ED Data Submission Template
Rapid ED Overdose Data from Local Syndromic or Hospital Discharge File Unchanged 120 360 10753 Form and Instruction None Rapid ED Data Submission Template
Total burden requested under this ICR: 575 658 20162  
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