[NCIPC] Overdose Response Strategy Data Collection

Forms and Documents

Document Name	Status
Form 0920-25AC ORS Annual Evaluation Survey-ORS Management/Coordination Team Form	New
Form 0920-25AC Att E_ORS Annual Evaluation Survey- Public Safety Form	New
Form 0920-25AC Att E_ORS Annual Evaluation Survey- Public Health Partner Form	New
Form 0920-25AC ORS Annual Evaluation Survey-DIO Form	New
Form 0920-25AC ORS Quarterly Reporting Template Form	New
Form 0920-25AC Annual Evaluation Survey-PHA Form	New
Form 0920-25AC Reminder Email Form	New
Form 0920-25AC Invitation Email Form	New
SSA_ORS Data Collection_clean.docx Supporting Statement A	2025-06-18
Att I1_Screenshot ORS Quarterly Reporting Template.pdf Supplementary Document	2025-06-12
Att H1_Screenshot ORS Annual Survey MCT.pdf Supplementary Document	2025-06-12
Att F1_Screenshot ORS Annual Survey PHP.pdf Supplementary Document	2025-06-12
Att G1_Screenshot ORS Annual Survey PSP.pdf Supplementary Document	2025-06-12
Att E1_Sreenshot ORS Annual Survey DIO.pdf Supplementary Document	2025-06-12
Att D1_ Screenshot ORS Annual Survey PHA.pdf Supplementary Document	2025-06-12
Att J_ORS Logic Model.pptx Supplementary Document	2025-06-12
Att L1_screenshot ORS survey invite.pdf Supplementary Document	2025-06-12
Att M1_screenshot ORS survey reminder.pdf Supplementary Document	2025-06-12
Att K_Research Determination ORS.pdf Supplementary Document	2025-06-12
Att C_Privacy Act Determination ORS.pdf Supplementary Document	2025-06-12
Att A_ Authorizing Legislation PHSA.docx Supplementary Document	2025-06-12
SSB_ORS Data Collection_Final.docx Supporting Statement B	2025-06-12

IC Document Collections

IC ID	Document Title	Status
275744	ORS Annual Evaluation Survey-ORS Management/Coordination Team Form	New
275743	Att E_ORS Annual Evaluation Survey- Public Safety Form	New
275742	Att E_ORS Annual Evaluation Survey- Public Health Partner Form	New
275741	ORS Annual Evaluation Survey-DIO Form	New
275740	ORS Quarterly Reporting Template Form	New
275739	Annual Evaluation Survey-PHA Form	New
275738	Reminder Email Form	New
275737	Invitation Email Form	New

ICR Details

OMB Control No:	ICR Reference No: 202506-0920-007
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-25AC
Title: [NCIPC] Overdose Response Strategy Data Collection
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 06/30/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	1,349	0
Time Burden (Hours)	653	0
Cost Burden (Dollars)	0	0

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Abstract: The ORS is a national public health and public safety program created to help local communities reduce drug overdose and save lives. The ORS is co-funded by CDC and the Office of National Drug Control Policy (ONDCP) and implemented through partnerships with the National Foundation for the Centers for Disease Control and Prevention (CDCF) and the High Intensity Drug Trafficking Areas (HIDTA) program. The ORS is implemented by teams of Drug Intelligence Officers (DIOs) and Public Health Analysts (PHAs) who work together on drug overdose issues within and across sectors and jurisdictions. The data collected will be used to inform program enhancements and improvements and describe program successes. By collecting this data, CDC will be able to monitor ORS program implementation, ensure fidelity to ORS goals and strategies, inform the creation of technical assistance tools and resources, and highlight ORS successes to support program sustainability and continued funding. It will also provide CDC with the capacity to respond in a timely manner to requests for information about the program from the Department of Health and Human Services (HHS), the White House, Congress, and other sources.

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Authorizing Statute(s): None

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:
	89 FR 841148	10/21/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 24801	06/12/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 8

IC Title	Form No.	Form Name
Annual Evaluation Survey-PHA	0920-25AC	ORS Annual Evaluation Survey- PHA
Att E_ORS Annual Evaluation Survey- Public Health Partner	0920-25AC	ORS Annual Evaluation Survey- PHP
Att E_ORS Annual Evaluation Survey- Public Safety	0920-25AC	ORS Annual Evaluation Survey- PSP
Invitation Email	0920-25AC	ORS Annual Evaluation Survey Invitation
ORS Annual Evaluation Survey-DIO	0920-25AC	ORS Annual Evaluation Survey- DIO
ORS Annual Evaluation Survey-ORS Management/Coordination Team	0920-25AC	ORS Annual Evaluation Survey- ORS MCT
ORS Quarterly Reporting Template	0920-25AC	ORS Quarterly Reporting Template
Reminder Email	0920-25AC	ORS Annual Evaluation Reminder Email

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ICR Summary 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	1,349	0	0	1,279	70	0
Annual Time Burden (Hours)	653	0	0	618	35	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: This is a new IC seeking 3 years of approval for 653 annual burden hours.

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Annual Cost to Federal Government: $162,896

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

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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: 06/30/2025

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