OMB control number
[NCIPC] Monitoring and Reporting for the Overdose Data to Action Cooperative Agreement
OMB 0920-1283 · HHS/CDC.
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.
Document Name |
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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 |
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Approved without change |
Revision of a currently approved collection | 2023-01-25 | |
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Improperly submitted and continue |
No material or nonsubstantive change to a currently approved collection | 2021-09-14 | |
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Approved without change |
New collection (Request for a new OMB Control Number) | 2019-11-05 |
Evaluation and Performance Measuring Plan Template
Federal Enterprise Architecture: Health - Public Health Monitoring
| Form 0920-1283 | Evaluation and Performance Measuring Plan Template - Annual Reporting | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.