View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0920-1268
ICR Reference No:
202202-0920-002
Status:
Historical Active
Previous ICR Reference No:
201906-0920-001
Agency/Subagency:
HHS/CDC
Agency Tracking No:
Docket No. CDC-2021-0043
Title:
Drug Overdose Surveillance and Epidemiology (DOSE)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
09/09/2022
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/22/2022
Terms of Clearance:
OMB is approving this information collection request for a period of three years during which time the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
09/30/2025
36 Months From Approved
09/30/2022
Responses
675
0
754
Time Burden (Hours)
975
0
1,272
Cost Burden (Dollars)
29,123
0
34,777
Abstract:
This information collection effort is an essential component toward reducing the opioid crisis, one of the top priorities of the Department of Health and Human Services. DOSE data is critical to our ability to rapidly identify outbreaks and provide situational awareness of changes in emergency department (ED) admissions for overdoses. The project will leverage ED syndromic data and hospital discharge data on ED visits already routinely collected by state health departments and the District of Columbia health department. This serves as a revision request for the currently approved ICR. Revisions are requested to revise the number of eligible states participating in data compilation, change the data collection template, and revise burden.
Authorizing Statute(s):
US Code:
42 USC 241
Name of Law: PHSA
US Code:
42 USC 280
Name of Law: Subtitle Q of the Substance Use-Disorder Prevention Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
86 FR 22052
04/26/2021
30-day Notice:
Federal Register Citation:
Citation Date:
87 FR 9622
02/22/2022
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
4
IC Title
Form No.
Form Name
ED Discharge Overdose data (annual reporting)
None
ED Discharge Overdose Data Form
ED Discharge Overdose data (quarterly reporting)
None
ED Discharge Overdose Data Form
Rapid ED Overdose Data - Case-level Data Shared through NSSP Biosense
None
Rapid ED Data Submission Template
Rapid ED Overdose Data from Local Syndromic or Hospital Discharge File
None
Rapid ED Data Submission Template
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
675
754
0
-79
0
0
Annual Time Burden (Hours)
975
1,272
0
-297
0
0
Annual Cost Burden (Dollars)
29,123
34,777
0
-5,654
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
Revisions are requested to revise the number of eligible states, change the data collection template (see Attachment D-2), and revise burden. No additional burden has been added; however, based on current data sharing from states we have decreased our burden estimate to 975 from 1272 hours (i.e., we estimated 19 states would be sharing data outside NSSP when in fact, only 10 states are sharing data outside NSSP).
Annual Cost to Federal Government:
$1,164,111
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Renita Macaluso 770 488-6458 arp5@cdc.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
02/22/2022
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