[NCIPC] Rapid Response Suicide Investigation Data Collection

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1243 Att. C Investigation Protocol Template Generic Suicide_30 day	Form and Instruction	New	Available
Form 0920-1243 Rapid Response Suicide Investigation Protocol	Form and Instruction	New	Repair queued
Att. D Burden Memo Generic Suicide_30 day.docx	Supplementary Document	Uploaded 2023-05-05	Repair queued
Att. C Investigation Protocol Template Generic Suicide_30 day.docx	Supplementary Document	Uploaded 2023-05-05	Repair queued
Att. B 60 day FRN.pdf	Supplementary Document	Uploaded 2023-05-05	Repair queued
Att. A AuthLeg.docx	Supplementary Document	Uploaded 2023-05-05	Repair queued
Att. F PIA-18CV_Generic Suicide.pdf	Supplementary Document	Uploaded 2021-01-05	Repair queued
Att. E Burden Memo Generic Suicide_30 day.docx	Supplementary Document	Uploaded 2021-01-05	Repair queued
Att. D Investigation Protocol Template Generic Suicide_30 day.docx	Supplementary Document	Uploaded 2021-01-13	Repair queued
Att. B_60 FRN OMB1243_Generic Suicide.pdf	Supplementary Document	Uploaded 2021-01-05	Repair queued
Att. A_AuthLeg.docx	Supplementary Document	Uploaded 2018-09-20	Repair queued
SSB_1243_Generic Suicide_4.27.23.docx	Supporting Statement B	Uploaded 2023-05-05	Repair queued
SSA_1243_Generic Suicide_5.17.23.docx	Supporting Statement A	Uploaded 2023-06-26	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
260805	Rapid Response Suicide Investigation Protocol	Form and Instruction	New	Att. C Investigation Protocol Template Generic Suicide_30 day
260805	Rapid Response Suicide Investigation Protocol	Form and Instruction	New

ICR Details

OMB Control No: 0920-1243	ICR Reference No: 202305-0920-004
Status: Active	Previous ICR Reference No: 202101-0920-003
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1243
Title: [NCIPC] Rapid Response Suicide Investigation Data Collection
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/16/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/26/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2026	36 Months From Approved
Responses	6,000	0	0
Time Burden (Hours)	3,000	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this ICR is to rapidly respond to urgent requests for CDC assistance to investigate an apparent and unexplained potential cluster or increase in suicidal behavior and to allow CDC to quickly investigate potential suicide clusters or increases in suicidal behavior for external partners who request urgent assistance in developing suicide prevention strategies.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: PHSA
  

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:
	87 FR 73002	11/28/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 30751	05/12/2023
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Rapid Response Suicide Investigation Protocol	0920-1243	Att. C Investigation Protocol Template Generic Suicide_30 day

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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	6,000	0	0	0	0	6,000
Annual Time Burden (Hours)	3,000	0	0	0	0	3,000
Annual Cost Burden (Dollars)	0	0	0	-73,020	0	73,020

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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $280,490

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? No

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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: 06/26/2023

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