School Associated Violent Deaths Surveillance System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Attachment 3.Section 42 USC 242 k and USC 242 m.doc	Supplementary Document	Uploaded 2009-12-16	Available
Attachment 2.Section 391 PHS Act.doc	Supplementary Document	Uploaded 2009-12-16	Available
Attachment 1.Section 301 PHS Act.doc	Supplementary Document	Uploaded 2009-12-16	Available
Attachment 8 CDC IRB Approval.doc	Supplementary Document	Uploaded 2009-12-15	Available
Attachment 5.CDC Approval for 308 (d) protection.doc	Supplementary Document	Uploaded 2009-12-15	Available
Attachment 4.List of Selected Publications.doc	Supplementary Document	Uploaded 2009-12-15	Available
OMB SAVD Supporting Statement A .doc	Supporting Statement A	Uploaded 2010-01-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
7069	School Associated Violent Deaths Surveillance System	Instruction	Modified
191865	School Associated Violent Deaths Surveillance-Law Enforcement Officials		New

ICR Details

OMB Control No: 0920-0604	ICR Reference No: 201001-0920-006
Status: Historical Active	Previous ICR Reference No: 200611-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: School Associated Violent Deaths Surveillance System
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/29/2010
	Date Received in OIRA: 01/27/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2013	36 Months From Approved	01/31/2010
Responses	70	0	70
Time Burden (Hours)	70	0	70
Cost Burden (Dollars)	0	0	0

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Abstract: Despite the important role of schools as a setting for violence research and prevention interventions, relatively little scientific or systematic work has been done to describe the nature and level of fatal violence associated with schools. Public health and education officials have had to rely on limited local studies and estimated numbers to describe the extent of school-associated violent deaths. As a result, the U.S. Department of Education (DOE) requested assistance from the Division of Violence Prevention (DVP)/National Center for Injury Prevention and Control (NCIPC) in establishing an ongoing surveillance system of school-associated violent deaths in the United States. This surveillance system remains the only systematic effort to document school-associated violent deaths on a national basis. The surveillance system will continue to contribute to the understanding of fatal violence associated with schools, guide further research in the area, and help direct ongoing and future prevention programs.

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Authorizing Statute(s): US Code: 42 USC 391 Name of Law: Publich Health Service Act
   US Code: 42 USC 241 (280 1-a) Name of Law: General Powers and Duties of Public Health
  

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:
	74 FR 28704	06/17/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 66972	12/17/2009
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
School Associated Violent Deaths Surveillance System
School Associated Violent Deaths Surveillance-Law Enforcement Officials

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ICR Summary of Burden

table that charts list 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	70	70	0	0	0	0
Annual Time Burden (Hours)	70	70	0	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is an extension of the previously approved ICR.

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Annual Cost to Federal Government: $163,546

Does this IC contain surveys, censuses, or employ statistical methods? No

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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

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

Is this ICR related to the Pandemic Response? Uncollected

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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: 01/27/2010

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