Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
ED Discharge Overdose data (annual reporting) Removed 0 0 0 Form and Instruction 0920-1268
ED and hospitalization discharge overdose data form - Health Department ED and inpatient hospital metadata - yearly New 32 96 0 Form and Instruction 0920-1268
Inpatient hospitalization discharge overdose data form - Health Department Line-level ED and Inpatient Hospitalization Discharge Data - Yearly New 35 175 0 Form and Instruction 0920-1268
Inpatient hospitalization discharge overdose data form - Health Department Total Inpatient Hospitalization Visits and Metadata - Yearly New 3 6 0 Form and Instruction 0920-1268
Rapid ED Overdose Data - Case-level Data Shared through NSSP Biosense Removed 0 0 0 Form and Instruction None
Rapid ED Overdose Data Form - Health Departments sharing data from Local Syndromic Data File New 36 108 0 Form and Instruction 0920-1268
Rapid ED Overdose Data from Local Syndromic or Hospital Discharge File Removed 0 0 0 Form and Instruction None
Rapid ED overdose Data Form - Health Departments sharing from NSSP BioSense New 540 270 0 Form and Instruction 0920-1268
Total burden requested under this ICR: 646 655 0  
To view an IC, click on IC Title