OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

[NCIPC] Performance Monitoring of CDC’s Comprehensive Suicide Prevention Program

ICR 202509-0920-002 · OMB 0920-1368 · Active

Forms and Documents
DocumentTypeStatusAvailability
Syndromic Surveillance Report Form and Instruction New Available
Syndromic Surveillance Report Form and Instruction New Repair queued
Annual Progress Report Form and Instruction Modified Repair queued
CSP Annual Progress Report Form and Instruction Modified Repair queued
Att C Research Determination.pdf Supplementary Document Uploaded 2025-09-11 Available
Att C Research Determination.pdf Supplementary Document Uploaded 2025-09-11 Repair queued
Att B 60Day FRN 2025-0014.pdf Supplementary Document Uploaded 2025-09-11 Available
Att B 60Day FRN 2025-0014.pdf Supplementary Document Uploaded 2025-09-11 Missing upstream
Att A Authorizing Legislation.pdf Supplementary Document Uploaded 2025-09-11 Available
Att A Authorizing Legislation.pdf Supplementary Document Uploaded 2025-09-11 Repair queued
SSB_0920-1368 CSP_08272025.docx Supporting Statement B Uploaded 2025-09-11 Available
SSB_0920-1368 CSP_08272025.docx Supporting Statement B Uploaded 2025-09-11 Repair queued
SSA 0920-1368 CSP_08272025_Clean_final.docx Supporting Statement A Uploaded 2025-09-11 Repair queued
SSA 0920-1368 CSP_08272025_Clean_final.docx Supporting Statement A Uploaded 2025-09-11 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
277518 Syndromic Surveillance Report Form and Instruction NewSyndromic Surveillance Report
277518 Syndromic Surveillance Report Form and Instruction New
251126 CSP Annual Progress Report Form and Instruction ModifiedAnnual Progress Report
251126 CSP Annual Progress Report Form and Instruction Modified
ICR Details
0920-1368 202509-0920-002
Active 202403-0920-006
HHS/CDC 0920-1368
[NCIPC] Performance Monitoring of CDC’s Comprehensive Suicide Prevention Program
Revision of a currently approved collection   No
Regular
Approved without change 11/17/2025
Retrieve Notice of Action (NOA) 09/22/2025
  Inventory as of this Action Requested Previously Approved
11/30/2028 36 Months From Approved 11/30/2025
120 0 24
480 0 288
0 0 0
The request is to reflect the addition of seven (7) new recipients. In September 2023, additional recipients were added to the Comprehensive Suicide Prevention Program. Recipients are required to develop a strategic action plan that outlines their comprehensive approach to suicide prevention and then to implement and evaluate this approach. This ICR collects performance monitoring data via a web-based Partners’ Portal. This data is needed to monitor the cooperative agreement program funded under the Comprehensive Suicide Prevention Program. This Revision includes an additional instrument and other minor changes.
US Code: 42 USC 241 Name of Law: U.S. PHSA
  
None
Not associated with rulemaking
  90 FR 25288 06/16/2025
90 FR 45384 09/22/2025
No
2
IC Title Form No. Form Name
CSP Annual Progress Report n/a Annual Progress Report
Syndromic Surveillance Report n/a Syndromic Surveillance Report
  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 120 24 0 96 0 0
Annual Time Burden (Hours) 480 288 0 192 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
A second instrument was added.
$202,420
No
    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.
09/22/2025