Information Collection Request

Drug Overdose Response Investigation (DORI) Data Collections

ICR 201711-0920-004 · OMB 0920-1054 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
AttJ Generic DORI NCIPC Research Determination.pdf Supplementary Document Uploaded 2017-12-13 Available
Att. H. Data Collection Instruments – Fentanyl-heroin overdose deaths OH.pdf Supplementary Document Uploaded 2017-12-12 Available
Att. G Final Burden Memo GenDORI_Fentanyl-heroin overdose deaths OH.docx Supplementary Document Uploaded 2017-12-12 Available
Att. F Request Protocol GenDORI - Fentanyl-heroin overdose deaths OH.docx Supplementary Document Uploaded 2017-12-12 Available
Att. E Burden Memo Gen 1054 DORI.docx Supplementary Document Uploaded 2017-12-12 Available
Att. D_Request Protocol Template Gen 1054 DORI.docx Supplementary Document Uploaded 2017-12-12 Available
Att. C. Public Comment - 1054 DORI.pdf Supplementary Document Uploaded 2017-12-12 Available
Att. B. 60 Day FRN - 1054 DORI.pdf Supplementary Document Uploaded 2017-12-12 Available
SSB_1054_DORI_111517.docx Supporting Statement B Uploaded 2017-12-12 Available
SSA_1054_DORI_111517.docx Supporting Statement A Uploaded 2017-12-12 Available
AttaC5 NM_EpiIInstr_14ARR GenDORI.pdf Supplementary Document Uploaded 2014-11-25 Available
AttaC4 RI_IntervInstr_14ARR GenDORI.docx Supplementary Document Uploaded 2014-11-25 Available
AttaC3 RI_EpiInfoInstr_14ARR GenDORI.pdf Supplementary Document Uploaded 2014-11-25 Available
AttaC2_WVA_Instr_14ARR GenDORI.docx Supplementary Document Uploaded 2014-11-25 Available
AttaC1_PrevEpiAid_14ARR GenDORI.docx Supplementary Document Uploaded 2014-11-25 Available
AttaA_AuthLeg_14ARR GenDORI.docx Supplementary Document Uploaded 2014-11-25 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2021 36 Months From Approved 03/31/2018
6,000 0 8,100
3,000 0 4,050
0 0 0






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 6,000 8,100 0 -2,100 0 0
Annual Time Burden (Hours) 3,000 4,050 0 -1,050 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No