OMB control number

[NCHHSTP] National Syringe Services Program (SSP) Evaluation

OMB 0920-1359 · HHS/CDC.

OMB 0920-1359

The National Syringe Services Program Evaluation (NSSPE) will be used to inform planning and evaluation of prevention programs that aim to reduce injection-related adverse health outcomes among people who inject drugs. The primary goals of the survey are to 1) assess and monitor syringe services programs (SSPs) operations and services, client characteristics and drug use patterns, funding resources, community relations, and key operational and programmatic successes and challenges, and 2) support timely analysis and dissemination of national program evaluation survey findings. CDC will work with an award recipient and North American Syringe Exchange Network (NASEN) to conduct annual surveys. This Revision includes addition/deletion of questions to the survey and additional respondents.

The latest form for [NCHHSTP] National Syringe Services Program (SSP) Evaluation expires 2027-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Nonresponse Survey Form and Instruction
National Syringe Services Program Evaluation Form and Instruction
Att 12 PIA Form_NSSSP.pdf Supplementary Document
Att 11b 2024+ NSSSP requested changes.xlsx Supplementary Document
Att 11a 2023 NSSSP de minimus changes.xlsx Supplementary Document
Att 10_Sample Analysis Table.docx Supplementary Document
Att 8_Project Determination_2023.pdf Supplementary Document
Att 5_Model Final Reminder.docx Supplementary Document
Att 4_Model Survey Reminders.docx Supplementary Document
Att 3_Model Invitation Letter_final.docx Supplementary Document
Att 2 60 Day FRN-Pub 5-4-2023.pdf Supplementary Document
Att 1_Authorizing Legislation.docx Supplementary Document
Supporting Statement B.docx Supporting Statement B
Supporting Statement A_final.docx Supporting Statement A
Nonresponse Survey Form and Instruction
National Syringe Services Program Evaluation Form and Instruction

All Historical Document Collections

202310-0920-001 Approved with change	Revision of a currently approved collection	2023-10-16
202203-0920-002 Approved with change	No material or nonsubstantive change to a currently approved collection	2022-03-01
202107-0920-003 Approved without change	New collection (Request for a new OMB Control Number)	2021-07-19

OMB Details

National Syringe Services Program Evaluation

Federal Enterprise Architecture: Health - Public Health Monitoring

Form n/a	NSSSP Instrument 2024+	Fillable Fileable	Form and instruction
Form n/a	NSSSP Instrument 2024+ (Spanish)	Fillable Fileable	Form and instruction

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