The National Violent Death Reporting System (NVDRS)

Forms and Documents

Document Name	Status
Public Agencies Retrieve and Refile Records Form and Instruction	Modified
SSA_0607_NVDRS_102414 (3).doc Supporting Statement A	2014-10-28
Supporting Statement B.doc Supporting Statement B	2014-07-10
Att 1_060513.docx Supplementary Document	2013-06-06
Change Request_6_5_2013.docx Justification for No Material/Nonsubstantive Change	2013-06-06
Attachment 4 - Data Flow Chart.doc Supplementary Document	2012-09-12

IC Document Collections

IC ID	Document Title	Status
7072	State Health Department Case abstraction Instruction	Removed
190915	Public Agencies Retrieve and Refile Records Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0607	ICR Reference No: 201407-0920-004
Status: Historical Active	Previous ICR Reference No: 201306-0920-007
Agency/Subagency: HHS/CDC	Agency Tracking No: 19739
Title: The National Violent Death Reporting System (NVDRS)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/29/2014
	Date Received in OIRA: 07/17/2014
Terms of Clearance: NCIPC’s NVDRS program will collaborate with NCHS’ NCVS to share knowledge and optimize investments designed to increase the quality and timeliness of State reporting of death data to CDC. NCIPC and NCHS should report progress on this collaboration, and milestones for future collaboration to OMB within three months.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2017	36 Months From Approved	12/31/2015
Responses	58,000	0	54,000
Time Burden (Hours)	29,000	0	67,500
Cost Burden (Dollars)	0	0	0

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Abstract: The National Violent Death Reporting System (NVDRS) is being revised to provide coverage across all U.S. states, territories, and the District of Columbia. The NVDRS surveillance system captures case record information held by medical examiners/coroners, vital statistics (death certificates), and law enforcement, including crime labs.

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Authorizing Statute(s): US Code: 42 USC 301 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:
	79 FR 8188	02/11/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 41694	07/17/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Public Agencies Retrieve and Refile Records	none	Screenshots
State Health Department Case abstraction

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ICR Summary 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	58,000	54,000	0	31,000	-27,000	0
Annual Time Burden (Hours)	29,000	67,500	0	15,500	-54,000	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: Previously, State case abstractors incurred burden, but now they receive funding for abstraction. The number of states participating will increase from 18 to 58 due to recent funding changes.

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Annual Cost to Federal Government: $1,057,000

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: 07/17/2014

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