State Unintentional Drug Overdose Reporting System (SUDORS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-25-0063 SUDORS	Form	Modified	Repair queued
SUDORS Case Report - Retrieving and Refiling Records	Form and Instruction	Modified	Available
Retrieving and Refiling Records - Data Elements	Form and Instruction	Modified	Repair queued
Sudors BEFORE Web-Based Data Entry Screenshots.pdf	Supplementary Document	Uploaded 2025-03-26	Repair queued
Sudors BEFORE Web-Based Data Entry Screenshots.pdf	Supplementary Document	Uploaded 2025-03-26	Repair queued
Change Request Memo - EO14168 Template_SUDORS_March2025.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-26	Repair queued
Change Request Memo - EO14168 Template_SUDORS_March2025.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-26	Repair queued
Att F1 SUDORS_screen_Shots_Changes.docx	Supplementary Document	Uploaded 2022-09-07	Repair queued
Att F1 SUDORS_screen_Shots_Changes.docx	Supplementary Document	Uploaded 2022-09-07	Repair queued
Att I Summary NCIPC_DOP and NCHS Collaboration.docx	Supplementary Document	Uploaded 2022-09-07	Repair queued
Att I Summary NCIPC_DOP and NCHS Collaboration.docx	Supplementary Document	Uploaded 2022-09-07	Repair queued
Att H SUDORS reports to OMB.docx	Supplementary Document	Uploaded 2022-09-07	Repair queued
Att H SUDORS reports to OMB.docx	Supplementary Document	Uploaded 2022-09-07	Repair queued
Att G Privacy Impact Assessment (PIA).pdf	Supplementary Document	Uploaded 2022-09-07	Repair queued
Att G Privacy Impact Assessment (PIA).pdf	Supplementary Document	Uploaded 2022-09-07	Repair queued
Att F SUDORS_Cross Table Changes.xlsx	Supplementary Document	Uploaded 2022-09-07	Repair queued
Att F SUDORS_Cross Table Changes.xlsx	Supplementary Document	Uploaded 2022-09-07	Repair queued
Att C Research Deterrmination.pdf	Supplementary Document	Uploaded 2022-09-07	Repair queued
Att C Research Deterrmination.pdf	Supplementary Document	Uploaded 2022-09-07	Repair queued
Att B Published 60-Day Federal Register Notice.pdf	Supplementary Document	Uploaded 2022-09-07	Repair queued
Att B Published 60-Day Federal Register Notice.pdf	Supplementary Document	Uploaded 2022-09-07	Repair queued
Att A. Public_Health_Service_Act.pdf	Supplementary Document	Uploaded 2022-09-07	Repair queued
Att A. Public_Health_Service_Act.pdf	Supplementary Document	Uploaded 2022-09-07	Repair queued
SSB_1128_SUDORS.docx	Supporting Statement B	Uploaded 2022-09-07	Repair queued
SSB_1128_SUDORS.docx	Supporting Statement B	Uploaded 2022-09-07	Repair queued
SSA_1128_SUDORS_final.docx	Supporting Statement A	Uploaded 2022-09-07	Repair queued
SSA_1128_SUDORS_final.docx	Supporting Statement A	Uploaded 2022-09-07	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
227708	Retrieving and Refiling Records - Data Elements	Form	Modified	SUDORS
227708	Retrieving and Refiling Records - Data Elements	Form and Instruction	Modified	SUDORS Case Report - Retrieving and Refiling Records
227708	Retrieving and Refiling Records - Data Elements	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-1128	ICR Reference No: 202503-0920-032
Status: Active	Previous ICR Reference No: 202208-0920-014
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1128
Title: State Unintentional Drug Overdose Reporting System (SUDORS)
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 without change	Conclusion Date: 06/09/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/20/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2026	02/28/2026	02/28/2026
Responses	87,261	0	87,261
Time Burden (Hours)	43,631	0	43,631
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this information collection is to detect state and local community changes in unintentional and undetermined intent drug-related overdose mortality and provide in-depth state and local (e.g., county) information on risk factors for fatal drug overdose deaths (opioid and non-opioid). State public health departments will be funded to abstract standardized data elements from medical examiner/coroner (ME/C) reports as well as death certificates and will report this information to CDC using a web-based platform. Findings will be used to inform the selection and targeting of interventions in all 50 states and the District of Columbia. This Revision requests removal of a respondent and a modification of the burden hours.

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Authorizing Statute(s): US Code: 42 USC 301 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:
	87 FR 74	04/18/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 55808	09/12/2022
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
Retrieving and Refiling Records - Data Elements	n/a, 0920-25-0063	SUDORS Case Report - Retrieving and Refiling Records ,   SUDORS

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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	87,261	87,261	0	0	0	0
Annual Time Burden (Hours)	43,631	43,631	0	0	0	0
Annual Cost Burden (Dollars)	0	0	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:

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Annual Cost to Federal Government: $2,069,900

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: 05/20/2025

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