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
30-Day
FRN
Emergency Review FRN Other
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.
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)
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
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?
Requested
Approval Period
for proposed
ICR (Select
one) Three years from approval date
Two years from approval date
One year from approval date
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:
Grant/CoAg:
DP23-0006
Other
- Specify:
Who
will collect
the data?
(Select all
that apply) CDC
Grantees
Public
Health
Partners Contractors
Other
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)? |
|
![]() No |
Does the proposed collection pose burdens on practicing physicians or their patients? |
![]() Yes |
|
If yes, identify burden type below. |
|
|
BURDEN TYPE ![]() Time |
|
|
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)
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?
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:
Completely
describe collaborative
efforts (names,
dates, roles,
where documented
in ICR's
justification, etc.):
Name |
Date |
Role |
Where Documented in ICR's Justification |
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|
|
|
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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:
Mandatory
Required to Obtain or Retain Benefits Voluntary
Annual Cost to Federal Government:
$179,796
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)
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:
CDC
0.1559
(E),
July 2017,
CDC
Adobe
Acrobat
DC,
S508
Electronic
Version,
July
2017
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Federal Register Notice (FRN) Publication Request Worksheet |
Subject | Federal Register Notice (FRN) Publication Request Worksheet |
Author | DHHS/CDC/OCOO/OCIO/MASO |
File Modified | 0000-00-00 |
File Created | 2025-09-18 |