[NCHHSTP] National Syringe Services Program (SSP) Evaluation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Nonresponse Survey	Form and Instruction	Removed	Available
Form 0920-26-0213 NSSSP Instrument_Spanish	Form	Modified	Available
Form 0920-26-0213 NSSSP Instrument_English	Form and Instruction	Modified	Available
Privacy Act Checklist.docx	Supplementary Document	Uploaded 2026-11-10	Available
Attachment 2c_Public Comment from DPA.pdf	Public Comments	Uploaded 2026-11-10	Available
Attachment 2b_Public Comments and Program Responses.docx	Public Comments	Uploaded 2026-11-10	Available
Attachment 10_PIA Form_NSSSP_SIGNED.pdf	Supplementary Document	Uploaded 2026-11-10	Available
Attachment 9_2026 NSSSP Crosswalk Table.xlsx	Supplementary Document	Uploaded 2026-11-10	Available
Attachment 8_Sample Analysis Tables.docx	Supplementary Document	Uploaded 2026-11-10	Available
Attachment 5_Model Final Reminder.docx	Supplementary Document	Uploaded 2026-11-10	Available
Attachment 7_Project Determination.pdf	Supplementary Document	Uploaded 2026-11-10	Available
Attachment 4_Model Survey Reminders.docx	Supplementary Document	Uploaded 2026-11-10	Available
Attachment 3_Model Invitation Letter.docx	Supplementary Document	Uploaded 2026-11-10	Available
Attachment 2a_60-Day_FRN.pdf	Supplementary Document	Uploaded 2026-11-10	Available
Attachment 1_Authorizing Legislation.docx	Supplementary Document	Uploaded 2026-11-10	Available
30_Day_FRN.docx	Supplementary Document	Uploaded 2026-11-10	Available
Attachment 12_PIA Form_NSSSP_v2.pdf	Supplementary Document	Uploaded 2024-01-09	Available
Att 11b 2024+ NSSSP requested changes.xlsx	Supplementary Document	Uploaded 2023-10-13	Available
Att 11a 2023 NSSSP de minimus changes.xlsx	Supplementary Document	Uploaded 2023-10-13	Available
Att 10_Sample Analysis Table.docx	Supplementary Document	Uploaded 2023-10-13	Available
Att 8_Project Determination_2023.pdf	Supplementary Document	Uploaded 2023-10-13	Available
Att 5_Model Final Reminder.docx	Supplementary Document	Uploaded 2023-10-13	Available
Att 4_Model Survey Reminders.docx	Supplementary Document	Uploaded 2023-10-13	Available
Att 3_Model Invitation Letter_final.docx	Supplementary Document	Uploaded 2023-10-13	Available
Att 2 60 Day FRN-Pub 5-4-2023.pdf	Supplementary Document	Uploaded 2023-10-13	Available
Att 1_Authorizing Legislation.docx	Supplementary Document	Uploaded 2023-10-13	Available
Supporting Statement B.docx	Supporting Statement B	Uploaded 2026-11-10	Available
Supporting Statement A.docx	Supporting Statement A	Uploaded 2026-11-10	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
248418	Nonresponse Survey	Form and Instruction	Removed	Nonresponse Survey
248417	National Syringe Services Program (SSP) Evaluation	Form	Modified	NSSSP Instrument_Spanish
248417	National Syringe Services Program (SSP) Evaluation	Form and Instruction	Modified	NSSSP Instrument_English

ICR Details

OMB Control No: 0920-1359	ICR Reference No: 202611-0920-005
Status: Received in OIRA	Previous ICR Reference No: 202310-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-26-0213
Title: [NCHHSTP] National Syringe Services Program (SSP) Evaluation
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 11/10/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2027
Responses	1,000	2,000
Time Burden (Hours)	583	616
Cost Burden (Dollars)	0	0

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Abstract: The National Syringe Services Program Evaluation (NSSPE) will be used to inform planning and evaluation of prevention programs that aim to reduce injection-related adverse health outcomes among people who inject drugs. The primary goals of the survey are to 1) assess and monitor syringe services programs (SSPs) operations and services, client characteristics and drug use patterns, funding resources, community relations, and key operational and programmatic successes and challenges, and 2) support timely analysis and dissemination of national program evaluation survey findings. CDC will work with an award recipient and North American Syringe Exchange Network (NASEN) to conduct annual surveys. This Revision includes addition/deletion of questions to the survey and additional respondents.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: PHSA
  

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:
	91 FR 32973	06/02/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 70888	11/09/2026
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
National Syringe Services Program (SSP) Evaluation	0920-26-0213, 0920-26-0213	NSSSP Instrument_English ,   NSSSP Instrument_Spanish
Nonresponse Survey	n/a	Nonresponse Survey

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ICR Summary of Burden

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	1,000	2,000	0	0	-1,000	0
Annual Time Burden (Hours)	583	616	0	0	-33	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a revision of seeeking three years of approval and 583 annual burden hours.

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Annual Cost to Federal Government: $1,621,056

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 11/10/2026

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