School Associated Violent Deaths Surveillance System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Att I - PIA SAVD.pdf	Supplementary Document	Uploaded 2019-04-11	Available
Att G - SAVD Assurance of Confidentiality.docx	Supplementary Document	Uploaded 2019-04-11	Available
Att F- List of Selected Publications.doc	Supplementary Document	Uploaded 2019-04-11	Available
Att D- Law Enforcement Data Abstraction Tool.docx	Supplementary Document	Uploaded 2019-04-11	Available
Att C - Institutional Review Board (IRB) documentation.docx	Supplementary Document	Uploaded 2019-04-11	Available
Att B - 60 day FRN - 0604 SAVD.pdf	Supplementary Document	Uploaded 2019-04-11	Available
Att A - PHSA Authorizing Legislation.doc	Supplementary Document	Uploaded 2019-04-11	Available
SSB_0604_SAVD.docx	Supporting Statement B	Uploaded 2019-04-11	Available
SSA_0604_SAVD_2019.docx	Supporting Statement A	Uploaded 2019-07-22	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
7069	Letters to Local Law Enforcement Officials	Other-Letter	Modified
191865	Law Enforcement Case Confirmation Script	Other-Letter	Modified

ICR Details

OMB Control No: 0920-0604	ICR Reference No: 201904-0920-005
Status: Active	Previous ICR Reference No: 201601-0920-004
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0604
Title: School Associated Violent Deaths Surveillance System
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: 07/22/2019
	Date Received in OIRA: 05/02/2019
Terms of Clearance: CDC will provide periodic briefs to OMB as SAVD transitions to the NVDRS over the next 18 months

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2022	36 Months From Approved	07/31/2019
Responses	100	0	70
Time Burden (Hours)	17	0	76
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection is for SAVD surveillance of school-associated homicides and suicides. The purpose of the system is to (1) estimate the rate of school-associated violent death in the United States and (2) identify common features of school-associated violent deaths. The system will contribute to the understanding of fatal violence associated with schools, guide further research in the area, and help direct ongoing and future prevention programs. SAVD is an ongoing surveillance system that draws cases from the entire USA in attempting to capture all cases of school-associated violent deaths that have occurred.

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

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:
	84 FR 2515	02/07/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 18847	05/02/2019
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Law Enforcement Case Confirmation Script
Letters to Local Law Enforcement Officials

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ICR Summary of Burden

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	100	70	0	30	0	0
Annual Time Burden (Hours)	17	76	0	-59	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden reduction is due to the cessation of telephone interviews with school and law enforcement officials. Data will be abstracted from law enforcement reports and entered by CDC staff.

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Annual Cost to Federal Government: $159,566

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.     Yes

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: 05/02/2019

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