FRN Publication Request Worksheet

30-day-FRN_Publication_Request_Worksheet (4) Ver. 2.docx

[NCCDPHP]Sudden Death in the Young Registry

FRN Publication Request Worksheet

OMB: 0920-1092

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Federal Register Notice (FRN) Publication Request Worksheet

BRIEF


Shape4 Agency (Select one) CDC

ATSDR

Office of Management and Budget (OMB) Control Number: 0920-1092






9/30/2025

Expiration Date (mm/dd/yyyy)

Agency Information Collection Request (ICR) Tracking Number (CDC ID #): Project Title: Sudden Death in the Young



Requesting CDC/ATSDR CIO and Program:

National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Division or Reproductive Health

Was this proposed information collection request package vetted through an internal

CIO clearance process with relevant project and Paperwork Reduction Act oversight officials? Yes No


FRN Type (Publication Requested) (Select one) 60-Day FRN

Shape5 30-Day FRN

Emergency Review FRN Other


Shape6 FRN Approval Category (Select one) Routine

Non-Routine

Non-routine = Urgent collections (either a public health emergency or soon to expire OMB approval). Routine = Everything else.


Shape7 Use of Information collection (Select one) Application for Benefit

Program Evaluation General Purpose Statistics Regulatory/Compliance

Program Planning/Management Public Health/Emergency Response Research

Surveillance/Surveillance Core Functions Service Delivery/Customer Feedback Administrative

Audit Other


Type of ICR (Select one)

Shape8 New collection (Request for a new OMB Control Number) Extension without change of a currently approved collection Revision of a currently approved collection *1

Reinstatement without change of a previously approved collection Reinstatement with change of a previously approved collection Existing collection in use without an OMB Control Number

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1 *For Revision Requests, in the Brief Summary section below, explain what has changed:

  • Is there a change in the data collection instrument? Why? What caused the change?

  • Is there an increase or decrease in respondents? From what (i.e., current approval) to what? What is the reason for the change?

  • Is there an increase or decrease in burden? From what (i.e., current approval) to what? What is the reason for the change?

Shape10 Requested Approval Period for proposed ICR (Select one) Three years from approval date

Two years from approval date

One year from approval date

Shape11 Six months from approval date (Maximum for Emergency reviews) Other


The proposed data collection is in support of a: (Select one)

Provide the Title, Contract Number or Funding Announcement (FA) Number and Grant Number

Contract:

Shape12 Grant/CoAg:


DP23-0006

Other - Specify:


Shape13 Who will collect the data? (Select all that apply) CDC

Grantees

Shape14 Public Health Partners Contractors

Other

Shape15 AFFECTED PUBLIC: Choose all that apply Individuals and Households

State, Local, or Tribal Governments Federal Government

Private Sector - If affected Public is Private Sector, check all the following that apply:


Is the proposed ICR related to the Affordable Care Act (PPACA, P.L. 111-148 &111-152)?

Yes

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No

Does the proposed collection pose burdens on practicing physicians or their patients?

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Yes

No

If yes, identify burden type below.



BURDEN TYPE

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Time Effort Financial Resources



LEGAL STATUTES


Authorizing Statute(s):

Public Health Service Act, as amended Section 301(a) and Section 317K 42 USC 241(a), 42 USC 247b-12

Sudden Death Data Enhancement and Awareness Act, Public Law Number 113-236 (enacted on 12/18/14)



Note: Authorizing Statuses include applicable Public Law, U.S. Code, Executive Orders, and Statuses

RULEMAKING

Associated Rulemaking Information: Yes No


FR NOTICES / COMMENTS (For 30-Day FRN Requests)

Shape19 Shape20 Shape21 60-day Notice: Federal Register Citation: Volume 90

No. 114

Page # 25288

Publication Date:

June 16, 2025


Did the Agency receive public comments on the 60-day FRN? Yes No If yes, how many comments were received?

Of the comments received, how many did the CDC/ATSDR program consider substantive?

BRIEF SUMMARY OF INFORMATION COLLECTION

State information collection’s purpose and the importance of collecting this information now:

The purpose of the Sudden Death in the Young (SDY) Case Registry is to improve and standardize case ascertainment so that funded jurisdictions can better their understanding of the incidence and risk factors for sudden death in youth.



State proposed use of collected data:

Data will inform our understanding of the epidemiology of SDY, including the incidence, and risk factors. These elements are used to inform prevention strategies as well as development of best practices for multi-state surveillance of SDY.




Provide location(s) of data collection activities:

The Cooperative Agreement currently funds 12 sites: South Carolina Philadelphia County, PA, Delaware, Ohio, Indiana, Minnesota, New Hampshire, Nevada, California, Utah, and Virginia.


Describe methods for collecting data: Information collection and reporting builds on existing, state-based procedures for Child Death Review (CDR). Through their existing CDR programs, awardees compile data for an estimated 606 cases per year, on a defined set of SDY questions and enter it into the existing SDY module that is part of the existing National Fatality Review-Case Reporting System (NFR-CRS) run through the Michigan Public Health

Institute’s (MPHI) National Center for Fatality Review and Prevention (NCFRP) program. Data is abstracted by states/jurisdictions from primary data sources, including medical examiner/coroner reports, death investigation reports, medical records, and child protective services records. For approximately 303 of these cases per year, awardee jurisdictions also convene an advanced review team with relevant clinical expertise, including state health personnel, pediatric cardiologists, pediatric neurologists or epileptologists, and forensic pathologists. The advanced review teams comprehensively review information from multiple data sources, discuss the information, and use the information to classify cases according to a standardized algorithm that differentiates causes of death. Additional information from these advanced case reviews is entered into the SDY module. Data is shared with CDC, which uses the data to provide technical assistance to improve completeness (including missing and unknown responses) and timeliness of completed cases.



Describe sampling plan:

CDC analyzes aggregated data and assess the completeness (including missing and unknown responses), timeliness, and case ascertainment of the data set. CDC shares findings and works with SDY awardees to provide technical assistance to improve the data over time. Data analyses beyond quality improvement analyses conducted by CDC are determined by the awardees. Awardees use their data to develop targeted prevention strategies to reduce the number of infant and childhood deaths.



Collaborative Efforts:

Shape23 Shape24 Completely describe collaborative efforts (names, dates, roles, where documented in ICR's justification, etc.):


Name

Date

Role

Where Documented in ICR's Justification

















Shape25 Shape26 RESPONDENTS

Total number of data collection instruments: 1

Total number of Respondents: 48 Total number of Responses: 128 Total Burden Hours: 438

(Find specific information on respondent, response, and burden estimations in the Supporting Statement)

Provide any additional comments:




OBLIGATION TO RESPOND

Shape27 Mandatory

Required to Obtain or Retain Benefits Voluntary


COSTS

Annual Cost to Federal Government:


$179,796


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Annual Cost to Respondents: $0

(Sum/total the "Estimated Annualized Burden Costs to Respondents" in Section A12 and "Estimates of Other Total Annual Cost Burden to Respondents or Record Keepers" in Section A13 of the Supporting Statement A of the Information Collection Request)

INCENTIVES

Will CDC/ATSDR offer incentives for proposed information collection project? Yes No

If yes, what type(s) or kind(s) of incentive(s) will be offered? Provide the incentive amounts that will be offered to information collection

respondents/participants Is the incentive offered within scope of Federal/Office of Management and Budget standards

for incentives? Yes No

FRN Publication Approval Needed by:

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CDC 0.1559 (E), July 2017, CDC Adobe Acrobat DC, S508 Electronic Version, July 2017


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleFederal Register Notice (FRN) Publication Request Worksheet
SubjectFederal Register Notice (FRN) Publication Request Worksheet
AuthorDHHS/CDC/OCOO/OCIO/MASO
File Modified0000-00-00
File Created2025-09-18

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