State Unintentional Drug Overdose Reporting System (SUDORS)

Forms and Documents

Document Name	Status
Retrieving and Refiling Records - Public Agencies Form	New
State Unintentional Drug Overdose Reporting System (SUDORS) Form	Removed
CDC Response to SUDORS OMB Request.docx Supplementary Document	2017-10-06
Att D. DataElements SUDORS_FINAL.docx Supplementary Document	2017-07-26
Att C. IRB Doc _ 1128_SUDORS_6617.pdf Supplementary Document	2017-07-26
Att B1. Public Commetn 1128_SUDORS.pdf Supplementary Document	2017-07-26
Att B. 60 Day FRN - 1128_SUDORS.pdf Supplementary Document	2017-07-26
Att A. Public_Health_Service_Act.doc Supplementary Document	2017-07-26
SSB_1128_SUDORS.docx Supporting Statement B	2017-07-26
SSA_SUDORS 05OCT2017.docx Supporting Statement A	2017-10-06

IC Document Collections

IC ID	Document Title	Status
227708	Retrieving and Refiling Records - Public Agencies Form	New
220172	State Unintentional Drug Overdose Reporting System (SUDORS) Form	Removed

ICR Details

OMB Control No: 0920-1128	ICR Reference No: 201706-0920-001
Status: Historical Active	Previous ICR Reference No: 201602-0920-010
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1128
Title: State Unintentional Drug Overdose Reporting System (SUDORS)
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: 10/10/2017
	Date Received in OIRA: 07/27/2017
Terms of Clearance: OMB clears on this ICR consistent with the understanding that DUIP/NCIPC will continue to devote resources to maximizing the long-term value of CDC’s investment in working with State health departments and medical examiners/coroners to improve the timeliness of fatal opioid overdose surveillance. More specifically, DUIP/NCIPC will continue to collaborate with NCHS (who has the lead in working with States vital records agencies) on developing a standardized, efficient, and sustainable approaches to incorporating mutually agreed upon data elements into State death certificates. Efforts during the first year will focus on broad development of ME/C standards and improving electronic interoperability of ME/C case management systems that incorporate toxicology information and findings from death scene investigations into vital statistics systems. Efforts during the 2nd years of clearance include multi-state piloting, and the 3rd year of clearance will focus on broad implementation into electronic death reporting.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2020	36 Months From Approved	08/31/2018
Responses	33,100	0	14,016
Time Burden (Hours)	16,550	0	7,008
Cost Burden (Dollars)	0	0	0

---

Abstract: CDC requests OMB approval for 3 years for this revision to include all 50 states, increasing the burden from the 16 states currently approved. The new states will be funded in August/September 2017. In addition, there have been updates to the web-based system to improve performance, functionality, and accessibility, and additional fields have been added to the opioid overdose module to allow for capturing of more detailed information.

---

Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 48861	08/14/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 34672	07/26/2017
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Retrieving and Refiling Records - Public Agencies	NA	Retrieving and Refiling Records - SUDORS
State Unintentional Drug Overdose Reporting System (SUDORS)	none	SUDORS - screenshots

---

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	33,100	14,016	0	19,084	0	0
Annual Time Burden (Hours)	16,550	7,008	0	9,542	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: Changing Forms

Short Statement: Submission of 0920-1128 is a Revision. Increase in Burden Hours is primarily due to updates to burden estimates that include projected hours for all 50 states.

---

Annual Cost to Federal Government: $765,039

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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

---

Common Form ICR:  No

---

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: 07/27/2017

---