Information Collection Request

[NCIPC] Overdose Response Strategy Data Collection

ICR 202601-0920-001 · OMB 0920-1461 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-25AC ORS Annual Evaluation Survey- ORS MCT Form Unchanged Available
Form 0920-25AC ORS Annual Evaluation Survey- PSP Form Unchanged Repair queued
Form 0920-25AC ORS Annual Evaluation Survey- PHP Form Unchanged Repair queued
Form 0920-25AC ORS Annual Evaluation Survey- DIO Form Unchanged Repair queued
Form 0920-1461 ORS Quarterly Reporting Template 07JAN2026 Form and Instruction Modified Repair queued
Form 0920-25AC ORS Quarterly Reporting Template Form Modified Available
Form 0920-25AC ORS Annual Evaluation Survey- PHA Form Unchanged Available
Form 0920-25AC ORS Annual Evaluation Reminder Email Form Unchanged Repair queued
Form 0920-25AC ORS Annual Evaluation Survey Invitation Form Unchanged Repair queued
OMB 0920-1461 Change Request Memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-01-07 Available
OMB 0920-1461 change request crosswalk.docx Supplementary Document Uploaded 2026-01-07 Available
SSA_OMB 0920-1461 chang request clean.docx Supporting Statement A Uploaded 2026-01-07 Available
Att I1_Screenshot ORS Quarterly Reporting Template.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Att H1_Screenshot ORS Annual Survey MCT.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Att F1_Screenshot ORS Annual Survey PHP.pdf Supplementary Document Uploaded 2025-06-12 Available
Att G1_Screenshot ORS Annual Survey PSP.pdf Supplementary Document Uploaded 2025-06-12 Available
Att E1_Sreenshot ORS Annual Survey DIO.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Att D1_ Screenshot ORS Annual Survey PHA.pdf Supplementary Document Uploaded 2025-06-12 Available
Att J_ORS Logic Model.pptx Supplementary Document Uploaded 2025-06-12 Available
Att L1_screenshot ORS survey invite.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Att M1_screenshot ORS survey reminder.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Att K_Research Determination ORS.pdf Supplementary Document Uploaded 2025-06-12 Available
Att C_Privacy Act Determination ORS.pdf Supplementary Document Uploaded 2025-06-12 Repair queued
Att A_ Authorizing Legislation PHSA.docx Supplementary Document Uploaded 2025-06-12 Available
SSB_ORS Data Collection_Final.docx Supporting Statement B Uploaded 2025-06-12 Available
IC Document Collections
IC IDCollectionTypeStatusForm
275744 ORS Annual Evaluation Survey-ORS Management/Coordination Team Form UnchangedORS Annual Evaluation Survey- ORS MCT
275743 Att E_ORS Annual Evaluation Survey- Public Safety Form UnchangedORS Annual Evaluation Survey- PSP
275742 Att E_ORS Annual Evaluation Survey- Public Health Partner Form UnchangedORS Annual Evaluation Survey- PHP
275741 ORS Annual Evaluation Survey-DIO Form UnchangedORS Annual Evaluation Survey- DIO
275740 ORS Quarterly Reporting Template Form and Instruction ModifiedORS Quarterly Reporting Template 07JAN2026
275740 ORS Quarterly Reporting Template Form ModifiedORS Quarterly Reporting Template
275739 Annual Evaluation Survey-PHA Form UnchangedORS Annual Evaluation Survey- PHA
275738 Reminder Email Form UnchangedORS Annual Evaluation Reminder Email
275737 Invitation Email Form UnchangedORS Annual Evaluation Survey Invitation
ICR Details
0920-1461 202601-0920-001
Active 202506-0920-007
HHS/CDC 0920-26-0011
[NCIPC] Overdose Response Strategy Data Collection
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 01/08/2026
Retrieve Notice of Action (NOA) 01/08/2026
  Inventory as of this Action Requested Previously Approved
08/31/2028 08/31/2028 08/31/2028
1,349 0 1,349
653 0 653
0 0 0

The ORS is a national public health and public safety program created to help local communities reduce drug overdose and save lives. The ORS is co-funded by CDC and the Office of National Drug Control Policy (ONDCP) and implemented through partnerships with the National Foundation for the Centers for Disease Control and Prevention (CDCF) and the High Intensity Drug Trafficking Areas (HIDTA) program. The ORS is implemented by teams of Drug Intelligence Officers (DIOs) and Public Health Analysts (PHAs) who work together on drug overdose issues within and across sectors and jurisdictions. The data collected will be used to inform program enhancements and improvements and describe program successes. By collecting this data, CDC will be able to monitor ORS program implementation, ensure fidelity to ORS goals and strategies, inform the creation of technical assistance tools and resources, and highlight ORS successes to support program sustainability and continued funding. It will also provide CDC with the capacity to respond in a timely manner to requests for information about the program from the Department of Health and Human Services (HHS), the White House, Congress, and other sources. Change Request is submitted to modify ORS Quarterly Report Template. There is no change to previously approved burden.

None
None

Not associated with rulemaking

  89 FR 841148 10/21/2024
90 FR 24801 06/12/2025
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 1,349 1,349 0 0 0 0
Annual Time Burden (Hours) 653 653 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$162,896
No
    No
    No
No
No
No
No
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.
01/08/2026