The National Violent Death Reporting System (NVDRS)

Forms and Documents

Document Name	Status
Public Agencies Retrieve and Refile Records Form and Instruction	Modified
NVDRS SSA_11-1-2017_OMB Revision_Clean.doc Supporting Statement A	2017-11-09
Att 5_NCIPC Research Determination_0607_NVDRS.pdf Supplementary Document	2017-08-10
Att 4_ Privacy Impact Assessment_0607_NVDRS.pdf Supplementary Document	2017-08-10
Att 2_60 DyFRN_0607_NVDRS.pdf Supplementary Document	2017-08-10
Att 1_Authorizing_Laws.doc Supplementary Document	2017-08-10
SSB_NVDRS_2017_DRAFT_080417.doc Supporting Statement B	2017-08-10

IC Document Collections

IC ID	Document Title	Status
190915	Public Agencies Retrieve and Refile Records Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0607	ICR Reference No: 201708-0920-012
Status: Historical Active	Previous ICR Reference No: 201407-0920-004
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0607
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: 11/17/2017
	Date Received in OIRA: 08/31/2017
Terms of Clearance: NCIPC’s NVDRS and SUDORS programs will continue to collaborate with NCHS’ NCVS to share knowledge and optimize investments associated with collecting data from state CMEs. The goal of this collaboration is to a) reduce duplicative reporting of the same data by States to different components of CDC; b) to improve the quality and timeliness of CME data to CDC (e.g., by increasing electronic interoperability of CME case management systems and public health reporting systems); and c) to maximize the value of the data being reported.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2020	36 Months From Approved	11/30/2017
Responses	68,488	0	58,000
Time Burden (Hours)	34,244	0	29,000
Cost Burden (Dollars)	613,652	0	0

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Abstract: The National Violent Death Reporting System (NVDRS) collects information for surveillance to monitor the occurrence of violent deaths in the U.S. at the national, state, and local levels. Data is used to understand magnitude, trends, and characteristics of violent death and what factors protect people or put them at risk for experiencing violence. This revision includes updates to the web-based system, edits to the coding manual, increases in burden due to increases in violent deaths in the US, and a decrease in health department respondents.

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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:
	81 FR 61217	09/06/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 41415	08/31/2017
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	NVDRS screenshots

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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	68,488	58,000	0	10,488	0	0
Annual Time Burden (Hours)	34,244	29,000	0	5,244	0	0
Annual Cost Burden (Dollars)	613,652	0	0	613,652	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: Changes include edits to the coding manual and data elements, increase in burden due to increase in violent deaths in the US, and decrease in respondents due to consolidation of reporting.

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Annual Cost to Federal Government: $1,952,000

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

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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: 08/31/2017

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