[NCIPC] Drug Overdose Surveillance and Epidemiology (DOSE)

OMB 0920-1268

OMB 0920-1268

This new data collection effort is an essential component toward reducing the opioid crisis, one of HHS Department’s top priorities. DOSE data is critical to our ability to rapidly identify outbreaks and provide situational awareness of changes in emergency department (ED) visits involving suspected drug, opioid, heroin and stimulant overdoses at the local, state, and regional level. DOSE allows health departments to rapidly share existing ED data on counts of ED visits using standard data forms and CDC case definitions.

The latest form for [NCIPC] Drug Overdose Surveillance and Epidemiology (DOSE) expires 2022-08-31 and can be found here.

OMB Details

Rapid ED Overdose data form - State HD

Federal Enterprise Architecture: Health - Public Health Monitoring

Form noneRapid ED Overdose DataFillable FileableForm

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