OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

MONITORING AND REPORTING SYSTEM FOR THE PRESCRIPTION DRUG OVERDOSE PREVENTION FOR STATES COOPERATIVE AGREEMENT

ICR 201607-0920-014 · OMB 0920-1155 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Annual reporting - Plan Tool Form and Instruction New Available
Annual reporting - Progress Report Tool Form and Instruction New Available
Initial population - Annual reporting - Progress Report Tool Form and Instruction New Available
SSA_PDO15AUK _ 71916F.docx Supporting Statement A Uploaded 2016-07-29 Available
SSB_PDO15AUK_71916F.docx Supporting Statement B Uploaded 2016-07-29 Available
Att. 5 List of Awardees.docx Supplementary Document Uploaded 2016-07-28 Available
Att. 4 NCIPC Research Determination.pdf Supplementary Document Uploaded 2016-07-28 Available
Att. 2_FRN pdf PDO Monito.pdf Supplementary Document Uploaded 2016-07-28 Available
Att. 1 Authorizing Legislation.docx Supplementary Document Uploaded 2016-07-28 Available
IC Document Collections
IC IDCollectionTypeStatusForm
222748 Annual reporting - Plan Tool Form and Instruction New
222747 Annual reporting - Progress Report Tool Form and Instruction New
222746 Initial population - Annual reporting - Progress Report Tool Form and Instruction New
ICR Details
0920-1155 201607-0920-014
Historical Active
HHS/CDC 15AUK
MONITORING AND REPORTING SYSTEM FOR THE PRESCRIPTION DRUG OVERDOSE PREVENTION FOR STATES COOPERATIVE AGREEMENT
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/19/2017
Retrieve Notice of Action (NOA) 08/02/2016
  Inventory as of this Action Requested Previously Approved
01/31/2020 36 Months From Approved
87 0 0
812 0 0
0 0 0
This new information collection is needed to monitor cooperative agreement programs funded under the Prescription Drug Overdose Prevention for States. Information to be collected will provide crucial data for program performance monitoring and provide CDC with the capacity to respond to requests from DHHS.
US Code: 42 USC 241 Name of Law: U.S. Public Health Service Act
  
None
Not associated with rulemaking
  80 FR 44965 07/28/2015
81 FR 48804 07/26/2016
No
  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 87 0 0 87 0 0
Annual Time Burden (Hours) 812 0 0 812 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Submission of 0920-15AUK is a New ICR.
$239,659
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Jeffrey Zirger 404 639-7118 [email protected]
  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
08/02/2016