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Federal forms, ICRs, and supporting documents

Information Collection

[OADPS] OD2A-LOCAL Cooperative Agreement (# CD23-0003)

IC 270561 under ICR 202507-0920-002 · OMB 0920-1282.

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Information Collection (IC) Details

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[OADPS] OD2A-LOCAL Cooperative Agreement (# CD23-0003) 0920-25-0127
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form n/a Techincal Guidance AttA_OD2A LOCAL PM Technical Guidance_MAY 2025.docx Yes Yes Fillable Fileable
Form and Instruction n/a Excel Reporting Tool AttB_OD2A LOCAL Excel Reporting Tool_MAY 2025.xlsx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

80 0
   
Individuals or Households
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 80 0 0 0 0 80
Annual IC Time Burden (Hours) 1,400 0 0 0 0 1,400
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
GenIC Request Memo PEO GenIC Request_OD2A-LOCAL.pdf 08/30/2024
Data entry guide AttC_OD2A_LOCAL_Contextual and Data Quality Questions for PMs_May 2025.pdf 07/03/2025
Email Notification OD2A_LOCAL email notification.docx 08/30/2024
Change Request Justification PPEO GenIC Change Request for Overdose Data to Action_LOCAL 2025 May.docx 07/03/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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