Information Collection Request

Rapid Response Suicide Investigation Data Collection

ICR 201809-0920-006 · OMB 0920-1243 · Active

Forms and Documents
DocumentTypeStatusAvailability
Att. F PIA-18CV_Generic Suicide_051818.pdf Supplementary Document Uploaded 2018-09-20 Available
Att. E Burden Memo Generic Suicide_30 day.docx Supplementary Document Uploaded 2018-09-20 Available
Att. D Investigation Protocol Template Generic Suicide_30 day.docx Supplementary Document Uploaded 2018-09-20 Available
Att. C CDC 0.1485 NCIPC Determination Form.pdf Supplementary Document Uploaded 2018-09-20 Available
ATT. B 60-day FRN Generic Suicide.pdf Supplementary Document Uploaded 2018-09-20 Available
Att. A_AuthLeg.docx Supplementary Document Uploaded 2018-09-20 Repair queued
SSB_18CV_Generic Suicide_30dy.docx Supporting Statement B Uploaded 2018-09-20 Available
SSA_18CV_Generic Suicide_modifications_09142018_clean.docx Supporting Statement A Uploaded 2018-09-20 Available
IC Document Collections
IC IDCollectionTypeStatusForm
ICR Details
0920-1243 201809-0920-006
Active
HHS/CDC 18CV
Rapid Response Suicide Investigation Data Collection
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 09/24/2018
Retrieve Notice of Action (NOA) 09/20/2018
Approved consistent with the understanding that this generic clearance will not be used to conduct research or to collect data to inform Federal policies or funding priorities. A mini supporting statement that describes the initiating event, context for using the data, methodology, and burden must be submitted with each GenIC request.
  Inventory as of this Action Requested Previously Approved
09/30/2021 36 Months From Approved
6,000 0 0
3,000 0 0
73,020 0 0

CDC requests approval for a new generic clearance to rapidly respond to urgent requests for CDC assistance to investigate an apparent and unexplained potential cluster or increase in suicidal behavior. Rapid Response Suicide Investigation Data Collections are specifically designed to inform the implementation of prevention strategies where a possible suicide cluster or increasing trend has been observed..

US Code: 42 USC 301 Name of Law: PHSA
  
None

Not associated with rulemaking

  82 FR 52046 11/09/2017
83 FR 30938 07/02/2018
No

0

  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 6,000 0 0 6,000 0 0
Annual Time Burden (Hours) 3,000 0 0 3,000 0 0
Annual Cost Burden (Dollars) 73,020 0 0 73,020 0 0
Yes
Miscellaneous Actions
No
This is a new generic ICR.

$248,249
Yes Part B of Supporting Statement
    No
    No
No
No
No
Uncollected
Shari Steinberg 404 639-4942 [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.
09/20/2018