The National Violent Death Reporting System (NVDRS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Public Safety Officer Suicide Module	Form and Instruction	Unchanged	Available
Public Safety Officer Suicide Reporting Module	Form and Instruction	Unchanged	Repair queued
SAVD General Incident Variables and Victim Variables	Form and Instruction	Unchanged	Available
School Associated Violent Death (SAVD) Module (see sections XXVI and XXVII)	Form and Instruction	Unchanged	Repair queued
Form 0920-25-0035 Web-Based Data Entry Screenshots	Form	Modified	Available
NVDRS (screen shots of web-based system)	Form and Instruction	Modified	Available
Web-based Data Entry for the NVDRS	Form and Instruction	Modified	Repair queued
NVDRS Coding Manual Version 6.1 clean.pdf	Supplementary Document	Uploaded 2025-06-09	Repair queued
Att 9_NVDRS Reports to OMB_09.10.2024.pdf	Supplementary Document	Uploaded 2025-06-09	Repair queued
Att 7_NVDRS Data Elements (NVDRS Variables) as of July 2022.pdf	Supplementary Document	Uploaded 2025-06-09	Repair queued
NVDRS 0920_0607_Change Request EO14168_041825.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-06-09	Repair queued
NVDRS 0920_0607_Change Request EO14168.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-06	Available
NVDRS 0920_0607_Change Request EO14168.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-06	Missing upstream
Att 10_NVDRS Reports to OMB.pdf	Supplementary Document	Uploaded 2022-01-19	Available
Att 10_NVDRS Reports to OMB.pdf	Supplementary Document	Uploaded 2022-01-19	Repair queued
Att 9_NVDRS Coding Manual Version 5.4.1.pdf	Supplementary Document	Uploaded 2022-01-19	Available
Att 9_NVDRS Coding Manual Version 5.4.1.pdf	Supplementary Document	Uploaded 2022-01-19	Missing upstream
Att 8_Variables Collected in NVDRS-SUDORS Web System_as of 5_2021.pdf	Supplementary Document	Uploaded 2022-01-19	Available
Att 8_Variables Collected in NVDRS-SUDORS Web System_as of 5_2021.pdf	Supplementary Document	Uploaded 2022-01-19	Repair queued
Att 5_NVDRS Non Research Determination STARS.pdf	Supplementary Document	Uploaded 2022-01-18	Available
Att 5_NVDRS Non Research Determination STARS.pdf	Supplementary Document	Uploaded 2022-01-18	Repair queued
Att 4_NVDRS PIA-2019.pdf	Supplementary Document	Uploaded 2022-01-18	Available
Att 4_NVDRS PIA-2019.pdf	Supplementary Document	Uploaded 2022-01-18	Repair queued
Att 2_ 60 Dy FRN for NVDRS.pdf	Supplementary Document	Uploaded 2022-01-18	Available
Att 2_ 60 Dy FRN for NVDRS.pdf	Supplementary Document	Uploaded 2022-01-18	Repair queued
Att 1A_FY21 appropriations bill.pdf	Supplementary Document	Uploaded 2022-01-18	Available
Att 1A_FY21 appropriations bill.pdf	Supplementary Document	Uploaded 2022-01-18	Repair queued
Att 1_Authorizing_Laws.pdf	Supplementary Document	Uploaded 2022-01-18	Available
Att 1_Authorizing_Laws.pdf	Supplementary Document	Uploaded 2022-01-18	Repair queued
SSB 0607_NVDRS_10.29.2021.docx	Supporting Statement B	Uploaded 2022-01-18	Repair queued
SSB 0607_NVDRS_10.29.2021.docx	Supporting Statement B	Uploaded 2022-01-18	Repair queued
OMB_09020-0607_NVDRS__SSA _clean.docx	Supporting Statement A	Uploaded 2025-06-09	Repair queued
SSA 0607_NVDRS_10.29.2021.docx	Supporting Statement A	Uploaded 2022-01-18	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
251027	Public Safety Officer Suicide Reporting Module	Form and Instruction	Unchanged	Public Safety Officer Suicide Module
251027	Public Safety Officer Suicide Reporting Module	Form and Instruction	Unchanged
251026	School Associated Violent Death (SAVD) Module (see sections XXVI and XXVII)	Form and Instruction	Unchanged	SAVD General Incident Variables and Victim Variables
251026	School Associated Violent Death (SAVD) Module (see sections XXVI and XXVII)	Form and Instruction	Unchanged
190915	Web-based Data Entry for the NVDRS	Form	Modified	Web-Based Data Entry Screenshots
190915	Web-based Data Entry for the NVDRS	Form and Instruction	Modified	NVDRS (screen shots of web-based system)
190915	Web-based Data Entry for the NVDRS	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0607	ICR Reference No: 202503-0920-009
Status: Historical Active	Previous ICR Reference No: 202112-0920-012
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0607-25-0035
Title: The National Violent Death Reporting System (NVDRS)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/09/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/28/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2025	09/30/2025	09/30/2025
Responses	99,669	0	99,669
Time Burden (Hours)	41,827	0	41,827
Cost Burden (Dollars)	851,436	0	851,436

---

Abstract: The National Violent Death Reporting System (NVDRS) collects information for surveillance to monitor the occurrence of violent deaths in the U.S. at the national, state, and local levels. Data is used to understand magnitude, trends, and characteristics of violent death and what factors protect people or put them at risk for experiencing violence. This revision includes 1) updates to the web-based system to improve performance, functionality, and accessibility, 2) new variables, 3) addition of a School Associated Violent Death (SAVD) module to prepare for discontinuation of OMB No. 0920-0604, and 4) addition of a Public Safety Officer suicide module.

---

Authorizing Statute(s): US Code: 42 USC 301 Name of Law: General Powers and Duties of Public Health
  

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:
	86 FR 43241	08/06/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 2794	01/19/2022
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Public Safety Officer Suicide Reporting Module	n/a	Public Safety Officer Suicide Module
School Associated Violent Death (SAVD) Module (see sections XXVI and XXVII)	n/a	SAVD General Incident Variables and Victim Variables
Web-based Data Entry for the NVDRS	n/a, 0920-25-0035	NVDRS (screen shots of web-based system) ,   Web-Based Data Entry Screenshots

---

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	99,669	99,669	0	0	0	0
Annual Time Burden (Hours)	41,827	41,827	0	0	0	0
Annual Cost Burden (Dollars)	851,436	851,436	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: No

Burden Reduction Due to:

Short Statement: The school-associated violent death (SAVD) module is being incorporated into 0920-0607. CDC plans to eventually discontinue SAVD-SS, OMB No. 0920-0604. The Public Safety Officer suicide reporting module is a new module developed in response to an appropriation from Congress.

---

Annual Cost to Federal Government: $3,390,566

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.     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: 03/28/2025

---