[NCIPC] Advancing Violence Epidemiology in Real-Time (AVERT)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
AVERT Data Submission Form	Form	Modified	Repair queued
AVERT_Non-substantive Change Request_2023_11_30_Clean_OMB.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-12-13	Repair queued
Crosswalk Template Non substantial change_11_30_Clean_OMB.xlsx	Supplementary Document	Uploaded 2023-12-13	Available
SSB_AVERT_072523.docx	Supporting Statement B	Uploaded 2023-07-26	Repair queued
SSA_AVERT_072523.docx	Supporting Statement A	Uploaded 2023-07-26	Repair queued
Attachment G - References.docx	Supplementary Document	Uploaded 2023-07-26	Repair queued
Attachment F_ICR-PII-Privacy Act-Determination-signed.pdf	Supplementary Document	Uploaded 2023-07-26	Repair queued
Attachment C_AVERT Non Research Determination STARS.pdf	Supplementary Document	Uploaded 2023-07-24	Repair queued
Attachment A_AVERT_Authorizing Laws.pdf	Supplementary Document	Uploaded 2023-07-24	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
261205	AVERT Data Submission Form	Form	Modified

ICR Details

OMB Control No: 0920-1414	ICR Reference No: 202312-0920-001
Status: Received in OIRA	Previous ICR Reference No: 202306-0920-015
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1414-24BP
Title: [NCIPC] Advancing Violence Epidemiology in Real-Time (AVERT)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/13/2023

table that charts list comparision

	Requested	Previously Approved
Expiration Date	09/30/2026	09/30/2026
Responses	72	60
Time Burden (Hours)	36	30
Cost Burden (Dollars)	0	0

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Abstract: Advancing Violence Epidemiology in Real-Time (AVERT) data collection integrates, expands, and enhances previous data sharing efforts with public health departments initiated under the Firearm Injury Surveillance Through Emergency Rooms (FASTER) program, which provided funding for 12 jurisdictions to share firearm injury-related ED visit data with CDC. The goal of AVERT is to build on the FASTER program and provide funding to a minimum of 10 jurisdictions to share timely ED data for all firearm injuries (regardless of intent), other violence-related injuries, and mental health conditions. AVERT is made possible because the vast majority of the participating health departments are already rapidly collecting extensive data on ED visits in their jurisdiction and using these data for the identification of public health concerns, including flu, heat-related illness, and disaster-related health issues. This Change Request aims to modify a few data elements and to add 2 jurisdictions.

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Authorizing Statute(s): US Code: 42 USC 241(a) 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:
	88 FR 17850	03/24/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 55049	08/14/2023
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
AVERT Data Submission Form	n/a	ED Violence Data Form

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ICR Summary of Burden

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	72	60	0	12	0	0
Annual Time Burden (Hours)	36	30	0	6	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: The change is due to the addition of two jurisdictions.

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Annual Cost to Federal Government: $523,000

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: 12/13/2023

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