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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
[NCIPC] Overdose prevention strategies for individuals experiencing homelessness
Agency IC Tracking Number:
0920-1419-24II
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
Form and Instruction
0920-1419924II)
Focus group script
Attachment D_ Focus group_8_16_24.docx
No
Printable Only
Form and Instruction
0920-1419(24II)
Focus group script
Attachment D_ Semi-structured interview_8_16_24.docx
No
Printable Only
Form and Instruction
0920-1419(24II)
Law Enforcement Perspectives on Homelessness and Overdose Survey
Attachment_F_ConsentSurvey (Online).pdf
Yes
Yes
Fillable Fileable
Other-Screenshots
Attachment_F1_ConsentSurvey (Online) screenshots.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,000
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
1,000
0
1,000
0
0
0
Annual IC Time Burden (Hours)
286
0
286
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Request Letter (24II)
Attachment A_Request letter_CDC ORS v2.pdf
08/30/2024
Determination of Non-applicability (24II)
Attachment B_Exempt Research Approval.pdf
08/30/2024
Privacy Act Determination
Attachment C_Privacy Act-Determination.pdf
08/30/2024
Email Invitation (24II)
Attachment_G_Email_Invitation.docx
08/30/2024
Request for Approval Under the Generic Clearance (0920-1419) for Overdose prevention strategies for individuals experiencing homelessness(0920-24II)
Overdose preventionhomelessness_ Request Protocol_PHPS GenIC.tfs45_ka8.22.24.docx
08/30/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.