Information Collection Request
[NCIPC] Monitoring and Reporting for the Overdose Data to Action Cooperative Agreement
ICR 202301-0920-001 · OMB 0920-1283 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1283 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 0920-n/a OD2A-LOCAL Data Management Plan Template |
Form and Instruction | New | Repair queued |
| Form 0920-n/a OD2A-LOCAL Evaluation & Performance Measurement Plan Template |
Form and Instruction | New | Repair queued |
| Form 0920-1283 OD2A-S Data Management Plan Template |
Form and Instruction | Modified | Repair queued |
| Form 0920-1283 (OD2A-S) Annual Performance Report and Work Plan |
Form and Instruction | Modified | Missing upstream |
| Form 0920-1283 Activity Progress Report and Work Plan Tool - Annual Performance Report |
Form and Instruction | Modified | Missing upstream |
| OD2A-LOCAL Annual Performance Report and Work Plan |
Form and Instruction | Modified | Repair queued |
| Form 0920-1283 Organization Capacity Assessment - Annual Reporting |
Form and Instruction | Modified | Repair queued |
| Form 0920-1283 (OD2A-S) Annual Performance Report and Work Plan |
Form and Instruction | Modified | Repair queued |
| Form 0920-1283 Evaluation and Performance Measuring Plan Template |
Form and Instruction | Modified | Repair queued |
 Attachment 4_List of Data Collection Instrument Requests.docx |
Supplementary Document | Uploaded 2023-01-11 | Repair queued |
| Att 7 Crosswalk of the four required reporting.docx |
Supplementary Document | Uploaded 2019-10-16 | Missing upstream |
 Attachment 7_Research Determination.pdf |
Supplementary Document | Uploaded 2023-01-11 | Missing upstream |
| Attachment 5_PIA.pdf |
Supplementary Document | Uploaded 2023-01-05 | Repair queued |
| Attachment B_Published 60dy FRN.pdf |
Supplementary Document | Uploaded 2023-01-05 | Repair queued |
| Attachment 2 List of Funded Jurisdictions.docx |
Supplementary Document | Uploaded 2023-01-05 | Repair queued |
 Att 1 Authorizing Legislation.doc |
Supplementary Document | Uploaded 2019-10-16 | Missing upstream |
| SSB_1283 OD2A Progress Reporting_final.docx |
Supporting Statement B | Uploaded 2023-01-11 | Repair queued |
| SSA_1283_OD2A Progress Reporting_011123.docx |
Supporting Statement A | Uploaded 2023-01-11 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 257750 |  OD2A-LOCAL Data Management Plan Template |
Form and Instruction | New | |
| 257748 | OD2A-LOCAL Evaluation & Performance Measurement Plan Template |
Form and Instruction | New | |
| 238174 | OD2A-S Data Management Plan Template |
Form and Instruction | Modified | |
| 238173 | (OD2A-S) Annual Performance Report and Work Plan |
Form and Instruction | Modified | |
| 238172 | Activity Progress Report and Work Plan Tool - Annual Performance Report |
Form and Instruction | Modified | |
| 238171 | OD2A-LOCAL Annual Performance Report and Work Plan |
Form and Instruction | Modified | |
| 238170 | Organization Capacity Assessment - Annual Reporting |
Form and Instruction | Modified | |
| 238169 | (OD2A-S) Annual Performance Report and Work Plan |
Form and Instruction | Modified | |
| 238168 | Evaluation and Performance Measuring Plan Template |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1283 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 201910-0920-003 |
| Agency Tracking No | 0920-1283 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |