[NCIPC] Monitoring and Reporting for the Overdose Data to Action Cooperative Agreement

OMB 0920-1283

The goal of this data collection is to gather program monitoring and reporting information from jurisdictions (which include states, Washington D.C., U.S. Territories, cities and counties) funded under the Overdose Data to Action (CDC-RFA-CE19-1904) notice of funding opportunity (OD2A NOFO). Reporting requirements have been carefully designed to align with and support the specific goals and outcomes outlined in the OD2A NOFO.

The latest form for [NCIPC] Monitoring and Reporting for the Overdose Data to Action Cooperative Agreement expires 2023-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-n/a OD2A-LOCAL Data Management Plan Template Form and Instruction
Form 0920-n/a OD2A-LOCAL Evaluation & Performance Measurement Plan Template Form and Instruction
Form 0920-1283 OD2A-S Data Management Plan Template Form and Instruction
Form 0920-1283 (OD2A-S) Annual Performance Report and Work Plan Form and Instruction
Form 0920-1283 Activity Progress Report and Work Plan Tool - Annual Performance Report Form and Instruction
OD2A-LOCAL Annual Performance Report and Work Plan Form and Instruction
Form 0920-1283 Organization Capacity Assessment - Annual Reporting Form and Instruction
Form 0920-1283 (OD2A-S) Annual Performance Report and Work Plan Form and Instruction
Form 0920-1283 Evaluation and Performance Measuring Plan Template Form and Instruction
Attachment 4_List of Data Collection Instrument Requests.docx Supplementary Document
Att 7 Crosswalk of the four required reporting.docx Supplementary Document
Attachment 7_Research Determination.pdf Supplementary Document
Attachment 5_PIA.pdf Supplementary Document
Attachment B_Published 60dy FRN.pdf Supplementary Document
Attachment 2 List of Funded Jurisdictions.docx Supplementary Document
Att 1 Authorizing Legislation.doc Supplementary Document
SSB_1283 OD2A Progress Reporting_final.docx Supporting Statement B
SSA_1283_OD2A Progress Reporting_011123.docx Supporting Statement A
OD2A-LOCAL Data Management Plan Template Form and Instruction
OD2A-LOCAL Evaluation & Performance Measurement Plan Template Form and Instruction
OD2A-S Data Management Plan Template Form and Instruction
(OD2A-S) Annual Performance Report and Work Plan Form and Instruction
Activity Progress Report and Work Plan Tool - Annual Performance Report Form and Instruction
OD2A-LOCAL Annual Performance Report and Work Plan Form and Instruction
Organization Capacity Assessment - Annual Reporting Form and Instruction
(OD2A-S) Annual Performance Report and Work Plan Form and Instruction
Evaluation and Performance Measuring Plan Template Form and Instruction

All Historical Document Collections

202301-0920-001 Approved without change	Revision of a currently approved collection	2023-01-25
202108-0920-016 Improperly submitted and continue	No material or nonsubstantive change to a currently approved collection	2021-09-14
201910-0920-003 Approved without change	New collection (Request for a new OMB Control Number)	2019-11-05

OMB Details

Evaluation and Performance Measuring Plan Template – Initial Population

Federal Enterprise Architecture: Health - Public Health Monitoring

Form n/a

Evaluation and Performance Measuring Plan Template

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.