Drug Overdose Response Investigation (DORI) Data Collections

Forms and Documents

Document Name	Status
Published 30dy FRN.pdf Supplementary Document	2021-02-08
AttJ Generic DORI NCIPC Research Determination.pdf Supplementary Document	2017-12-13
Att. H. Data Collection Instruments – Fentanyl-heroin overdose deaths OH.pdf Supplementary Document	2017-12-12
Att. G Final Burden Memo GenDORI_Fentanyl-heroin overdose deaths OH.docx Supplementary Document	2017-12-12
Att. F Request Protocol GenDORI - Fentanyl-heroin overdose deaths OH.docx Supplementary Document	2017-12-12
Att. E Burden Memo Gen 1054 DORI.docx Supplementary Document	2017-12-12
Att. D_Request Protocol Template Gen 1054 DORI.docx Supplementary Document	2017-12-12
Att. C. Public Comment - 1054 DORI.pdf Supplementary Document	2017-12-12
Att. B. 60 Day FRN - 1054 DORI.pdf Supplementary Document	2017-12-12
SSB_1054_DORI_111517.docx Supporting Statement B	2017-12-12
SSA_1054_DORI_020821.docx Supporting Statement A	2021-02-08
AttaC5 NM_EpiIInstr_14ARR GenDORI.pdf Supplementary Document	2014-11-25
AttaC4 RI_IntervInstr_14ARR GenDORI.docx Supplementary Document	2014-11-25
AttaC3 RI_EpiInfoInstr_14ARR GenDORI.pdf Supplementary Document	2014-11-25
AttaC2_WVA_Instr_14ARR GenDORI.docx Supplementary Document	2014-11-25
AttaC1_PrevEpiAid_14ARR GenDORI.docx Supplementary Document	2014-11-25
AttaA_AuthLeg_14ARR GenDORI.docx Supplementary Document	2014-11-25

IC Document Collections

IC ID	Document Title	Status

ICR Details

OMB Control No: 0920-1054	ICR Reference No: 202101-0920-002
Status: Received in OIRA	Previous ICR Reference No: 201711-0920-004
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1054
Title: Drug Overdose Response Investigation (DORI) Data Collections
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 02/09/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	6,000	0
Time Burden (Hours)	3,000	0
Cost Burden (Dollars)	0	0

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Abstract: This is a revision request for OMB# 0920-1050.The goal of Drug Overdose Response Investigations (DORI) is to collect data in response to an urgent request from a state or local public agency to inform responses to control a local drug overdose epidemic and when it meets the criteria, approval will be sought for information collection to be conducted under this Generic Information Collection Request.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Heath Service Act
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 49375	08/13/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 8645	02/08/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 0

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ICR Summary of Burden

	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	6,000	0	0	0	0	6,000
Annual Time Burden (Hours)	3,000	0	0	0	0	3,000
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $398,984

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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? No

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Common Form ICR:  No

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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: 02/09/2021

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