Public Agencies Retrieve and Refile Records

The National Violent Death Reporting System (NVDRS)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0607 can be found here:

Documents and Forms

Document Name Document Type
Public Agencies Retrieve and Refile Records Form and Instruction
NVDRS screenshots Att 6_NVDRS Web-Based Data Entry Screenshots_0607.pdf Form and Instruction
Att 7_ NVDRS Web Coding Manual_v5.2_0607.pdf NVDRS Web Coding Manual IC Document
Att 8 _NVDRS Data Elements (NVDRS Variables)_0607.pdf NVDRS Data Elements IC Document

Information Collection (IC) Details

IC Title:	Public Agencies Retrieve and Refile Records	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	none	NVDRS screenshots	Att 6_NVDRS Web-Based Data Entry Screenshots_0607.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	68,488	10,488	58,000
Annual IC Time Burden (Hours)	34,244	5,244	29,000
Annual IC Cost Burden (Dollars)	613,652	613,652	0

Documents for IC

Title	Document	Date Uploaded
NVDRS Web Coding Manual	Att 7_ NVDRS Web Coding Manual_v5.2_0607.pdf	08/10/2017
NVDRS Data Elements	Att 8 _NVDRS Data Elements (NVDRS Variables)_0607.pdf	08/10/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.