OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

DOP Cross-Site Program Implementation Evaluation of Overdose Data to Action Program

ICR 202010-0920-013 · OMB 0920-1330 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-20PA Post Information Collection Follow-up Email Form and Instruction New Repair queued
Form 0920-20PA Program Manager KII Email Form and Instruction New Repair queued
Form 0920-20PA Program Manager FG Email Form and Instruction New Repair queued
Form 0920-20PA Focus Group Recruitment Reminder Email Form and Instruction New Repair queued
Form 0920-20PA Interview Recruitment Reminder Email Form and Instruction New Missing upstream
Form 0920-20PA Focus Group Recruitment Email Form and Instruction New Repair queued
Form 0920-20PA Interview Recruitment Email Form and Instruction New Available
Form 0920-20PA Permission to be Recorded Form and Instruction New Missing upstream
Form 0920-20PA Focus Group Guide Form and Instruction New Repair queued
Form 0920-20PA Key Informant Interview Guide Form and Instruction New Repair queued
Attachment O_Research Determination.pdf Supplementary Document Uploaded 2020-10-26 Missing upstream
Attachment N. Privacy Impact Assessment (PIA).pdf Supplementary Document Uploaded 2020-10-26 Repair queued
Attachment C_List of OD2A Recipients.xlsx Supplementary Document Uploaded 2020-10-26 Repair queued
Attachment B_60 DY FRN OD2A Cross site Eval.pdf Supplementary Document Uploaded 2020-10-26 Repair queued
Attachment A_ Authorizing Legislation.docx Supplementary Document Uploaded 2020-10-26 Repair queued
SSB_OD2A_9.24.20 .docx Supporting Statement B Uploaded 2020-10-26 Available
SSA_OD2A_9.25.20_KH.docx Supporting Statement A Uploaded 2020-10-26 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
244241 Post Information Collection Follow-up Email Form and Instruction New
244240 Program Manager KII Email Form and Instruction New
244238 Program Manager FG Email Form and Instruction New
244237 Focus Group Recruitment Reminder Email Form and Instruction New
244236 Interview Recruitment Reminder Email Form and Instruction New
244235 Focus Group Recruitment Email Form and Instruction New
244234 Interview Recruitment Email Form and Instruction New
244233 Permission to be Recorded Form and Instruction New
244232 Focus Group Guide Form and Instruction New
244231 Key Informant Interview Guide Form and Instruction New
ICR Details
202010-0920-013
Received in OIRA
HHS/CDC 0920-20PA
DOP Cross-Site Program Implementation Evaluation of Overdose Data to Action Program
New collection (Request for a new OMB Control Number)   No
Regular 11/04/2020
  Requested Previously Approved
24 Months From Approved
2,076 0
574 0
0 0
This information collection's purpose is to assess the implementation of the Overdose Data to Action (OD2A) program (CDC-RFA-CE19-1904) activities, identify implementation-related factors that may influence the effectiveness of these activities across jurisdictions, explore innovative approaches implemented by different jurisdictions, and provide context to findings of evaluation metrics and outcomes data.
US Code: 42 USC 241 Name of Law: PHSA
  
None
Not associated with rulemaking
  85 FR 36206 06/15/2020
85 FR 70163 11/04/2020
No
  Total Request 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 2,076 0 0 2,076 0 0
Annual Time Burden (Hours) 574 0 0 574 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new collection.
$1,143,541
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
Kevin Joyce 404 639-1944 [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.
11/04/2020