Information Collection Request

Sudden Death in the Young Registry

ICR 202201-0920-011 · OMB 0920-1092 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-1092 SDY Module N for State Health Personnel Form Modified Repair queued
SDY Module - State Health Personnel Form Modified Repair queued
Att 8 Privacy-narrative-_SDY.pdf Supplementary Document Uploaded 2022-02-28 Missing upstream
Att 7 Institutional Determination of Research Status_SDY.pdf Supplementary Document Uploaded 2022-02-28 Repair queued
Att 6_NCFRP Child Death Review _Case Reporting System Security Information.pdf Supplementary Document Uploaded 2022-01-26 Repair queued
Att 5_ MPHI Security Policy, #06-02 _ SDY.pdf Supplementary Document Uploaded 2022-01-26 Repair queued
Att 4b DUA between CDC and Awardees Alaska Example.pdf Supplementary Document Uploaded 2022-01-26 Repair queued
Att 4a DUA between CDC and MPHI.pdf Supplementary Document Uploaded 2022-01-26 Missing upstream
Att 3a_60 day Federal Reserve Notice.pdf Supplementary Document Uploaded 2022-01-26 Repair queued
Att 1b_Authorizing Legislation SUDDEA Act.pdf Supplementary Document Uploaded 2019-02-11 Repair queued
Att 1a_Authorizing Legislation Public Health Service Act.docx Supplementary Document Uploaded 2019-02-11 Missing upstream
Supporting Statement B_Sudden Death in the Young_13Dec21.docx Supporting Statement B Uploaded 2022-02-28 Available
Supporting Statement A_SDY _rev_022522.docx Supporting Statement A Uploaded 2022-02-28 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
234894 SDY Module N for State Health Personnel Form Modified
234893 Advanced Review Other-Discussion Guide Modified
217617 SDY Module - State Health Personnel Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 04/30/2022
2,522 2,576
511 521
17,368 17,538





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Advanced Review
SDY Module - State Health Personnel none NCFRP Cases Reporting System SDY Module 1
SDY Module N for State Health Personnel 0920-1092 N SUID AND SDY CASE REGISTRY

table that charts list of burden
  Total Request 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 2,522 2,576 0 -54 0 0
Annual Time Burden (Hours) 511 521 0 -10 0 0
Annual Cost Burden (Dollars) 17,368 17,538 0 -170 0 0


Reginfo record details
  No