OMB control number

[NCIPC] Monitoring and Reporting for the Overdose Data to Action Cooperative Agreement

OMB 0920-1283 · HHS/CDC.

OMB 0920-1283

This is a revision request for the previously approved ICR to continue collecting program monitoring and reporting information from jurisdictions (which include states, Washington, D.C., U.S. Territories, cities, and counties) currently funded under the Overdose Data to Action (CDC-RFA-CE19-1904) notice of funding opportunity (OD2A NOFO). Reporting requirements have been carefully designed to align with and support the specific goals and outcomes outlined in the OD2A NOFO. This revision request is to initiate data collection activities for two new Overdose Data to Action NOFOs, the Overdose Data to Action in States (OD2A-S) will collect program monitoring and reporting information from states and Washington, D.C. The Overdose Data to Action-Limiting Overdose through Collaborative Actions in Localities (OD2A-LOCAL) will collect program monitoring and reporting information from U.S. Territories, cities, and counties. This non substantive change request updates questions used in OMB 0920-1283 Monitoring and Reporting for the Overdose Data to Action Cooperative Agreement to be in accordance with E.O. 14168 & E.O. 14151.

The latest form for [NCIPC] Monitoring and Reporting for the Overdose Data to Action Cooperative Agreement expires 2026-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Supplementary Document
Supplementary Document
Supplementary Document
Supplementary Document
Supplementary Document
Supplementary Document
Supplementary Document
Supporting Statement B
Supporting Statement A
OMB Details

Evaluation and Performance Measuring Plan Template

Federal Enterprise Architecture: Health - Public Health Monitoring

Form 0920-1283Evaluation and Performance Measuring Plan Template - Annual ReportingFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.