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:
202303-0920-004
Status:
Historical Active
Previous ICR Reference No:
202202-0920-002
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-1268-23DH
Title:
[NCIPC] Drug Overdose Surveillance and Epidemiology (DOSE)
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
04/24/2023
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/09/2023
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
09/30/2025
09/30/2025
09/30/2025
Responses
575
0
675
Time Burden (Hours)
658
0
975
Cost Burden (Dollars)
20,162
0
29,123
Abstract:
This non-substantial change request is for the following changes: 1) Remove quarterly data collection for emergency department (ED)/hospitalization discharge overdose data, 2) Increase the number of states submitting ED/hospitalization discharge overdose data from 28 to 35, 3) Request line-level ED/hospitalization discharge overdose data instead of aggregate counts. These changes will not alter the purpose of DOSE, the methods, or interpretation of DOSE data.
Authorizing Statute(s):
US Code:
42 USC 280
Name of Law: Subtitle Q of the Substance Use-Disorder Prevention Act
US Code:
42 USC 241
Name of Law: PHSA
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:
3
IC Title
Form No.
Form Name
ED Discharge Overdose data (annual reporting)
0920-1268
ED Annual 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
575
675
0
12
-112
0
Annual Time Burden (Hours)
658
975
0
19
-336
0
Annual Cost Burden (Dollars)
20,162
29,123
0
1,075
-10,036
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:
No
Burden Reduction Due to:
Short Statement:
This non-substantial change request will result in an overall reduction in the currently approved total annual burden and costs for respondents, from 975 hours ($29,123) to 657.5 hours ($19,640), due to the elimination of the aggregation process which takes time to complete and removing quarterly data submissions. Changes will also allow CDC the ability to have access to complete line-level data making the data more actionable and granular (e.g., drug combinations can now be analyzed).
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:
Thelma Sims 4046394771
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:
03/09/2023
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