[NCIPC] Evaluation of the Overdose Data to Action Technical Assistance Hub

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1355 Focus Groups	Form and Instruction	New	Repair queued
Form 0920-1355 Implementation Feedback Form	Form and Instruction	New	Available
Form 0920-1355 TA Feedback Form – Universal Events	Form and Instruction	New	Repair queued
Form 0920-1355 Annual Technical Assistance Survey	Form and Instruction	Modified	Repair queued
Form 0920-1355 TA Feedback Form (individual)	Form and Instruction	Modified	Missing upstream
Att. 12 Privacy Act-Determination.pdf	Supplementary Document	Uploaded 2024-09-26	Repair queued
Att. 13_Research Determination_TA Hub.pdf	Supplementary Document	Uploaded 2024-09-27	Repair queued
PIA-TAC.pdf	Supplementary Document	Uploaded 2024-10-08	Repair queued
Att. 10 FRN 60 Day.pdf	Supplementary Document	Uploaded 2024-09-26	Missing upstream
Att. 2 Authorizing Legislation.docx	Supplementary Document	Uploaded 2024-09-25	Missing upstream
Att. 1 OD2A-S and LOCAL Recipients List.docx	Supplementary Document	Uploaded 2024-09-25	Repair queued
SSB Eval Technical Assistance Hub Overdose Prevention final.docx	Supporting Statement B	Uploaded 2021-06-10	Available
0920-1355_SSA Eval Technical Assistance Hub Overdose Prevention_10.08.24 (003).docx	Supporting Statement A	Uploaded 2024-10-08	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
271245	Focus Groups	Form and Instruction	New
271244	Invitation to Complete the Annual Technical Assistance Survey (email)	Instruction	New
271204	Implementation Feedback Form	Form and Instruction	New
271203	TA Feedback Form – Universal Events	Form and Instruction	New
247859	Invitation to Participate in Focus Groups (email)	Instruction	Modified
247858	Annual Technical Assistance Survey	Form and Instruction	Modified
247857	TA Feedback Form (individual)	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-1355	ICR Reference No: 202409-0920-011
Status: Received in OIRA	Previous ICR Reference No: 202106-0920-004
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1355
Title: [NCIPC] Evaluation of the Overdose Data to Action Technical Assistance Hub
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/22/2024

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2024
Responses	4,250	2,222
Time Burden (Hours)	388	222
Cost Burden (Dollars)	0	0

---

Abstract: The goal of this study is to continue monitoring and evaluating the effectiveness and impact of technical assistance (TA) provided to Overdose Data to Action (OD2A) in States and OD2A: LOCAL program recipients funded to implement opioid surveillance and prevention efforts in their jurisdictions. Specifically, the evaluation will gather real-time information to improve ongoing provision of TA and to demonstrate the overall impact of OD2A TA delivery. The information obtained through this evaluation will allow TA providers to assess OD2A recipients’ experience and utility of knowledge and resources gained through individual TA support, peer-to-peer sessions, and other group trainings. Ultimately, the evaluation data will inform subsequent rounds of TA and allow TA providers to make necessary adjustments to the overall TA strategy for continuous quality improvement. This will ensure recipients have the support necessary to implement strategies that will improve opioid surveillance and prevention policies and practices within their communities. The OD2A in States and OD2A: LOCAL recipient program staff and partners will participate in the data collection tools for this study.

---

Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 38150	05/07/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 84151	10/21/2024
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
Annual Technical Assistance Survey	0920-1355	Annual Technical Assistance Survey
Focus Groups	0920-1355	Focus Groups
Implementation Feedback Form	0920-1355	Implementation Feedback Form
Invitation to Complete the Annual Technical Assistance Survey (email)
Invitation to Participate in Focus Groups (email)
TA Feedback Form (individual)	0920-1355	TA Feedback Form – Individual TA
TA Feedback Form – Universal Events	0920-1355	TA Feedback Form – Universal Events

---

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	4,250	2,222	0	-1,440	3,468	0
Annual Time Burden (Hours)	388	222	0	-170	336	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: In addition to extending approval for instruments previously approved, there are two new information collection instruments included in this revision (the Implementation Feedback Form and Focus Group). The need for these instruments to be added was identified during the first iteration of the OD2A program and OD2A TA Hub version of this project; no intermediate-term feedback was being collected around how in-depth support ascertained by those receiving TA had impacted program work or been implemented after TA delivery. Additionally, the new Focus Group instrument is a new opportunity to collect in-depth feedback from Community of Practice and peer session participants in a way that not only aligns with the depth of TA they will have received in the CoP and engagement sessions but aligns also with the continuous improvement priorities of CDC. There is an increase in annual burden from 222 (previously approved) to 388, primary increase in burden comes from the increase in program recipients from 60 in OD2A to 90 across OD2A in States and OD2A: LOCAL and two instruments being added to the project.

---

Annual Cost to Federal Government: $195,034

Does this IC contain surveys, censuses, or employ statistical methods? No

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

---

Common Form ICR:  No

---

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: 10/22/2024

---