Evaluation of the SAMHSA PDMP Electronic Health Record Integration and Interoperability Expansion Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Interview Guide for End Users	Form and Instruction	New	Available
Interview Guide for Key Project Staff and Stakeholders	Form and Instruction	New	Available
PEHRIIE Evaluation Supporting Statement B - 11-4-2013 - Clean.docx	Supporting Statement B	Uploaded 2013-11-07	Available
Attachment 9 - NCIPC IRB Human Subjects Research Determination - Final.pdf	Supplementary Document	Uploaded 2013-11-07	Available
Attachment 8 - Documentation of Consultation with CDR Jinhee Lee - Final for ICRO.docx	Supplementary Document	Uploaded 2013-11-07	Available
Attachment 6 - PEHRIIE Evaluation Plan Summary - Final.docx	Supplementary Document	Uploaded 2013-11-07	Available
Attachment 2 - PEHRIIE Evaluation Published 60-day Notice - Final.pdf	Supplementary Document	Uploaded 2013-11-07	Available
Attachment 5 - Tabular Description of Respondent Universe - Final.docx	Supplementary Document	Uploaded 2013-11-07	Available
Attachment 1 - Authorizing Legislation - Final.docx	Supplementary Document	Uploaded 2013-11-07	Available
Attachment 7 - Initial Contact and Scheduling Email Templates - 9-26-2013 - Final.docx	Supplementary Document	Uploaded 2013-11-07	Available
PEHRIIE Evaluation Supporting Statement A - 11-4-2013 - clean.docx	Supporting Statement A	Uploaded 2013-11-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
209349	Clinical End Users Recruiters	Instruction	New
209348	Interview Guide for End Users	Form and Instruction	New
209347	Interview Guide for Key Project Staff and Stakeholders	Form and Instruction	New

ICR Details

OMB Control No: 0920-1008	ICR Reference No: 201311-0920-010
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 20877
Title: Evaluation of the SAMHSA PDMP Electronic Health Record Integration and Interoperability Expansion Program
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/15/2014
	Date Received in OIRA: 11/14/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2016	24 Months From Approved
Responses	132	0	0
Time Burden (Hours)	119	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: CDC proposes a qualitative evaluation of the Prescription Drug Monitoring Program (PDMP) Electronic Health Record (EHR) Integration and Interoperability Expansion (PEHRIIE) program. The program is a collection of state initiatives funded by 2012 Prevention and Public Health Funds cooperative agreements through DHHS, SAMHSA. CDC is conducting an evaluation of the program to understand the processes, challenges, and successes in implementing and sustaining integration of PDMP data with Health Information Technology systems and interoperability of PDMP systems across states. The collection will capture the experiences of clinical end users with the systems being upgraded under the PEHRIIE program and their recommendations for how the goals of the PEHRIIE program could have been better accomplished.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: PHSA
  

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:
	78 FR 43206	07/19/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 68074	11/13/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Interview Guide for Key Project Staff and Stakeholders	none	Interview Guide
Interview Guide for End Users	none	Interview Guide
Clinical End Users Recruiters

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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	132	0	0	132	0	0
Annual Time Burden (Hours)	119	0	0	119	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: No

Burden Reduction Due to:

Short Statement: This is a new information collection.

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Annual Cost to Federal Government: $129,386

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

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]? 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? 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: 11/14/2013

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