State Unintentional Drug Overdose Reporting System (SUDORS)

Forms and Documents

Document Name	Status
State Unintentional Drug Overdose Reporting System (SUDORS) Form	New
Att C. IRB Doc _ NCIPC Research Determination SUDORS.pdf Supplementary Document	2016-02-18
Att B1. Non-Substantial comment 0920-15BBT NDORS.pdf Supplementary Document	2016-02-18
Att B. 60 Day FRN - 0920-15BBT_NUDORS.pdf Supplementary Document	2016-02-18
Att A. Public_Health_Service_Act.doc Supplementary Document	2016-02-18
SSB_SUDORS_021216_clean.docx Supporting Statement B	2016-02-18
SSA_SUDORS_Clean_OMB 8 03 2016.docx Supporting Statement A	2016-08-04

IC Document Collections

IC ID	Document Title	Status
220172	State Unintentional Drug Overdose Reporting System (SUDORS) Form	New

ICR Details

OMB Control No: 0920-1128	ICR Reference No: 201602-0920-010
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 15BBT
Title: State Unintentional Drug Overdose Reporting System (SUDORS)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/04/2016
	Date Received in OIRA: 02/26/2016
Terms of Clearance: Approval for 2 year OMB clearance is granted with the understanding that CDC will provide updates to OMB (via phone teleconference) every 6 months on their progress toward achieving more streamlined and collaborative data collection efforts in coordination with NCHS.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2018	36 Months From Approved
Responses	14,016	0	0
Time Burden (Hours)	7,008	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: To generate public health surveillance information on unintentional fatal drug overdoses at the state and local levels that is more detailed, useful, and timely than is currently available. This information will help develop, inform, and assess the progress of drug overdose prevention strategies at the state level.

---

Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 48861	08/14/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 9475	02/25/2016
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
State Unintentional Drug Overdose Reporting System (SUDORS)	none	SUDORS - screenshots

---

ICR Summary of Burden

	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	14,016	0	0	14,016	0	0
Annual Time Burden (Hours)	7,008	0	0	7,008	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new ICR.

---

Annual Cost to Federal Government: $574,329

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/26/2016

---