Information Collection Request

[NCIPC] Advancing Violence Epidemiology in Real-Time (AVERT)

ICR 202608-0920-008 · OMB 0920-1414 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
ED Violence Data Form Form Modified Available
Attachment F_PII-Privacy Act-Determination Avert.pdf Supplementary Document Uploaded 2026-08-28 Available
Attachment D - Syndrome Definitions_2026_Clean_Send_final.docx Supplementary Document Uploaded 2026-08-28 Available
Attachment C_AVERT Non Research Determination STARS.pdf Supplementary Document Uploaded 2026-08-28 Available
Attachment B1_Public comment and response_AVERT.pdf Public Comments Uploaded 2026-07-27 Available
Attachment B_AVERT_60 day FRN.pdf Supplementary Document Uploaded 2026-08-28 Available
SSB_AVERT_2026_Clean_Send.docx Supporting Statement B Uploaded 2026-08-28 Available
SSA_AVERT_2026_08_07_Clean_Sent_OMB.docx Supporting Statement A Uploaded 2026-08-28 Available
Attachment A_AVERT_Authorizing Laws.pdf Supplementary Document Uploaded 2026-08-28 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
261205 AVERT Data Submission Form Form ModifiedED Violence Data Form

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 09/30/2026
72 72
18 36
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
AVERT Data Submission Form n/a

table that charts list 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 72 72 0 0 0 0
Annual Time Burden (Hours) 18 36 0 -18 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No